2d tte w or without fol w/con,co cost in Wisconsin

2d tte w or w/o fol w/con,co · HCPCS C8923

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Madison Madison not published $571.09 – $761.45 2
SSM Health St. Mary's Hospital - Janesville Janesville not published $592.21 – $789.61 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $571.09 – $761.45 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $581.54 – $1,496.49 4
SSM Health Monroe Hospital Monroe not published $761.45 – $761.45 1