EHHS Milton Clinic Medicare Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
A
Best Value
3x
the federal fair-price benchmark
127
83 comparable to federal rates
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Biggest Overcharges at This Hospital
These are the procedures where EHHS Milton Clinic Medicarecharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.
| Procedure | Code | They Charge | Gov. Benchmark | You Overpay |
|---|---|---|---|---|
| HC BIOPSY SKIN TANGENTIAL SNGL LSN | 11102 | $95 | $96 | |
| HC BX NAIL | 11755 | $154 | $120 | +$35 |
| HC DESTR BENIGN LESION OTHER SKIN TAG >=15 | 17111 | $214 | $130 | +$84 |
| HC BIOPSY SKIN PUNCH EA ADDL LSN | 11105 | $88 | $60 | +$28 |
| HC INJ TRIGGER POINT 1 OR 2 MUSC | 20552 | $93 | $52 | +$41 |
| HC ARTHROCENTESIS JOINT SMALL WO US | 20600 | $90 | $56 | +$34 |
| HC ARTHROCENTESIS JT INTERMEDIATE | 20605 | $92 | $57 | +$35 |
| HC ED INJ TNDN LIGMNT SNGL APNUROS | 20550 | $97 | $60 | +$37 |
| HC INJ TRIGGER POINTS >=3 MUSCLES | 20553 | $106 | $60 | +$46 |
| HC ARTHROCENTESIS JOINT MAJOR WO US | 20610 | $113 | $69 | +$44 |
| HC EXC SKIN MALIG TRUNK/EXTRM 3.1-4.0CM | 11604 | $536 | $311 | +$225 |
| HC REMV LESN BENIGN FACE <= 0.5CM | 11440 | $277 | $142 | +$135 |
| HC INJ THERAPEUTIC CARPAL TUNNEL | 20526 | $141 | $88 | +$52 |
| HC EXC SKIN BENIGN TRNK/EXTRM 0.6-1.0CM | 11401 | $271 | $155 | +$116 |
| HC BIOPSY SKIN PUNCH SNGL LSN | 11104 | $117 | $121 | |
| HC EXC TISSUE SUBQ HIDRA AXIL SMPL INTR RPR | 11450 | $655 | $461 | +$194 |
| HC DEBRIDE SUBQ TISSUE 1ST 20 CM OR LESS | 11042 | $153 | $133 | +$20 |
| HC TRIM HYPERKERATOTIC SKIN LESION SNGL | 11055 | $88 | $70 | +$18 |
| HC WND RPR SIM SC AX TK XT 1-2.5CM | 12001 | $110 | $114 | |
| HC DEBRID SELECTIVE 1ST 20SQ CM OR LESS | 97597 | $145 | $102 | +$44 |
About EHHS Milton Clinic Medicare Pricing
EHHS Milton Clinic Medicare in , WI charges prices relatively close to what insurance companies and the government pay across 83procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.
What this means for your bill
If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.
Can I negotiate?
Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.
Compare with other hospitals
See how EHHS Milton Clinic Medicare stacks up against other hospitals in the area.
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