App high cost ss t/a/l <100sq cm addl <25sq cm cost in Wisconsin

HC APP HIGH COST SS T/A/L <100SQ CM ADDL <25SQ CM · CPT 15272

$25.97

lowest in Wisconsin

$223.85

state median

$223.85

highest in Wisconsin

$508.18

national median

Hospital City Cash price Negotiated range Payers
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $25.97 $26.30 – $102.25 6
UnityPoint Health - Meriter Hospital Madison $141.60 $15.13 – $50.53 13
SSM Health Ripon Community Hospital Ripon $223.85 $1,887.00 – $5,512.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $223.85 $1,887.00 – $5,512.00 3
SSM Health Waupun Memorial Hospital Waupun $223.85 $1,887.00 – $5,512.00 3
SSM Health St. Mary's Hospital - Madison Madison not published $2,036.00 – $2,036.00 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $1,704.00 – $1,704.00 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,676.00 – $1,676.00 1
SSM Health Monroe Hospital Monroe not published $2,181.00 – $9,837.00 2
Ascension St. Francis Hospital, Inc. Milwaukee not published $97.65 – $97.65 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $97.65 – $97.65 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $17.20 – $93.53 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $949.00 – $16,897.00 6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $17.20 – $93.53 7
Ascension Calumet Hospital, Inc. Chilton not published $17.20 – $93.53 7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $26.30 – $102.25 6
Midwest Orthopedic Specialty Hospital Franklin not published $97.65 – $97.65 1