Antigen therapy services cost in Wisconsin

Antigen therapy services · CPT 95170

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Madison	Madison	not published	$34.11 – $45.48	2
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$35.37 – $47.17	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$34.11 – $45.48	2
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$34.74 – $89.39	4
SSM Health Monroe Hospital	Monroe	not published	$45.48 – $45.48	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$31.28 – $62.72	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$31.28 – $62.72	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$3.07 – $93.16	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$18.41 – $98.82	9
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$3.07 – $93.16	12
Ascension Calumet Hospital, Inc.	Chilton	not published	$3.07 – $35.49	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$18.41 – $98.82	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$31.28 – $62.72	4
UnityPoint Health - Meriter Hospital	Madison	not published	$2.98 – $12.78	10