Acth stimulation panel cost in Wisconsin

ACTH STIMULATION PANEL · CPT 80402

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$86.96 – $415.52	17
SSM Health Ripon Community Hospital	Ripon	not published	$86.96 – $175.96	4
SSM Health Monroe Hospital	Monroe	not published	$86.96 – $152.18	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$86.96 – $415.52	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$86.96 – $335.67	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$84.35 – $155.77	5
UnityPoint Health - Meriter Hospital	Madison	not published	$52.18 – $135.27	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$65.22 – $707.17	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$86.96 – $403.47	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$86.96 – $403.47	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$86.96 – $415.52	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$65.22 – $691.44	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$65.22 – $864.32	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$91.31 – $335.67	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$86.96 – $335.67	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$86.96 – $175.96	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$65.22 – $167.83	7