Albumin ischemia modified cost in Wisconsin

Albumin ischemia modified · CPT 82045

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$33.94 – $68.69	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$25.46 – $276.06	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$25.46 – $269.93	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$25.46 – $337.41	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$25.46 – $65.50	7
SSM Health Ripon Community Hospital	Ripon	not published	$33.94 – $68.69	4
SSM Health Monroe Hospital	Monroe	not published	$33.94 – $59.40	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$33.94 – $152.28	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$33.94 – $152.28	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$33.94 – $131.01	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$33.94 – $147.87	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$32.92 – $60.81	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$33.94 – $131.01	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$35.64 – $131.01	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$33.94 – $147.87	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$33.94 – $152.28	17
UnityPoint Health - Meriter Hospital	Madison	not published	$20.36 – $52.80	9