Adenovirus ag ia cost in Wisconsin

Adenovirus ag ia · CPT 87301

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$11.98 – $24.26	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$8.98 – $97.49	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$8.98 – $95.32	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$8.98 – $119.16	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$8.98 – $23.12	7
SSM Health Ripon Community Hospital	Ripon	not published	$11.98 – $24.26	4
SSM Health Monroe Hospital	Monroe	not published	$11.98 – $20.97	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$11.98 – $54.30	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$11.98 – $54.30	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$11.98 – $46.24	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$11.98 – $52.73	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$11.62 – $21.49	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$11.98 – $46.24	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$12.58 – $46.24	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$11.98 – $52.73	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$11.98 – $54.30	17
UnityPoint Health - Meriter Hospital	Madison	not published	$7.19 – $18.65	9