App mdlty 1+hubbrd tnk ea 15 cost in Wisconsin

APP MDLTY 1+HUBBRD TNK EA 15 · CPT 97036

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$33.00 – $109.24	4
SSM Health Monroe Hospital	Monroe	not published	$33.45 – $33.45	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$33.00 – $109.24	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$33.00 – $69.30	12
UnityPoint Health - Meriter Hospital	Madison	not published	$33.00 – $141.57	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$25.09 – $33.45	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$33.00 – $106.03	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$33.00 – $106.03	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$33.00 – $109.24	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$25.09 – $33.45	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$33.00 – $69.30	12
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$25.09 – $64.56	4