Adhesiolysis tube ovary 58740 cost in Wisconsin
Adhesiolysis tube ovary 58740 · CPT 58740
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun | not published | $4,428.00 – $7,791.00 | 3 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $8,124.00 – $13,962.00 | 2 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $6,798.00 – $9,811.00 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $6,687.00 – $11,044.00 | 2 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $4,428.00 – $7,791.00 | 3 |
| SSM Health Ripon Community Hospital | Ripon | not published | $4,428.00 – $7,791.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $8,701.00 – $8,960.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $3,180.61 – $3,180.61 | 1 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $3,180.61 – $3,180.61 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $930.17 – $3,218.06 | 7 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,427.12 – $3,518.42 | 6 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $4,744.00 – $20,066.00 | 6 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $930.17 – $3,218.06 | 7 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $930.17 – $3,218.06 | 7 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,427.12 – $3,518.42 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $3,180.61 – $3,180.61 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $809.52 – $2,703.80 | 10 |