Details for NOTICE OF HOSPITAL P

NOTICE OF HOSPITAL PRICE INCREASE Westfields Hospital, 535 Hospital Road, New Richmond, WI 54017 Westfields Hospital will implement a price increase on January 1, 2022. The price increase will increase total patient revenue for the twelve month period by 3.0% across multiple room types, as well as the addition pricing based on levels. Below is an overview of the pricing changes from 2021 to 2022. The hospital's last reportable price increase was 3.0% on January 1, 2021. The hospital fiscal year starts January 1, 2022 and ends December 31, 2022. Selected charge elements will change as follows: Charge Description Previous Price New Price Dollar Diff. Percent Change Medical-Surgical Semi Private Room$1,563 $1,610 $47 3.0% Medical-Surgical Private with Isolation/Telemetry $1,563 $1,610 $47 3.0% ICU - Level I $1,626 $1,675 $49 3.0% Obstetrics - Semi Private Room $1,563 $1,610 $47 3.0% Labor Care $309 $318 $9 3.0% Delivery-Uncomplicated $1,174 $1,209 $35 3.0% Delivery-Complicated $1,689 $1,740 $51 3.0% Nursery $640 $659 $19 3.0% Circumcision $332 $342 $10 3.0% Mammography-Digital Screening $536 $552 $16 3.0% Emergency Room Level 3 $634 $653 $19 3.0% Swing Bed $857 $883 $26 3.0% Assessments (PFC) $325 $335 $10 3.0% Group Therapy $313 $322 $9 3.0% Individual Therapy $325 $335 $10 3.0% Factors contributing to this increase include government reimbursement rates that do not fully cover their associated costs; Increases in uncompensated care and bad debt; and the hospital’s commitment to the community to provide quality care with modern equipment and technology and competitive salaries. Westfields Hospital & Clinic This notice is published in accordance with HFS 120.09 and Wis. Stat. 153.08 (Nov. 25, 2021) WNAXLP 2911271

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