Legislation

Wis. Stat. § 146.903 – Wisconsin

Status: Enacted
Link: https://docs.legis.wisconsin.gov/statutes/statutes/146/903/3

Delineates the required disclosures respecting cost and quality of a health care provider. Upon the request of a consumer, a health care provider must disclose at no cost to the consumer the median billed charge for a health care service, diagnostic test, or procedure. Additionally, a provider that submits data to a health care information organization must also make comparative quality information available to the consumer concurrently with the median billed charge information. Providers must post a notice that consumers have the right to request charge information at no cost. Providers must also maintain a document that list charge information for the 25 presenting conditions identified for the health care provider’s provider type.
o Similarly, a hospital must maintain a single document that lists charge information for each of the 75 diagnosis related groups for inpatient care and outpatient surgical care identified in the code, including the median billed charge, the average allowable payment under Medicare, and the average allowable payment from private third-party payers. Consumers shall be provided a copy of the document at no charge upon request.


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