Adapt behavior tx phys/qhp cost in Wisconsin

Adapt behavior tx phys/qhp · CPT 97155

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Madison	Madison	not published	$129.31 – $172.41	2
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$131.67 – $338.84	4
SSM Health Monroe Hospital	Monroe	not published	$172.41 – $172.41	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$103.50 – $218.41	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$103.50 – $218.41	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$154.46 – $324.37	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$54.40 – $344.10	8
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$154.46 – $324.37	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$54.40 – $344.10	8
Midwest Orthopedic Specialty Hospital	Franklin	not published	$103.50 – $218.41	4
UnityPoint Health - Meriter Hospital	Madison	not published	$29.15 – $155.19	8