App mltpln uni xtrnl fix 1st cost in Wisconsin
APP MLTPLN UNI XTRNL FIX 1ST · CPT 20696
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun | not published | $8,657.00 – $8,923.00 | 3 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $9,052.00 – $26,356.16 | 4 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $7,919.00 – $27,330.85 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $7,789.00 – $26,356.16 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $8,657.00 – $51,798.34 | 6 |
| SSM Health Ripon Community Hospital | Ripon | not published | $8,657.00 – $8,923.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $10,137.00 – $26,356.16 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $4,365.41 – $4,365.41 | 1 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $4,365.41 – $4,365.41 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $1,208.94 – $4,263.04 | 7 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,857.96 – $4,660.92 | 6 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,104.00 – $16,897.00 | 6 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $1,208.94 – $4,263.04 | 7 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $1,208.94 – $4,263.04 | 7 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,857.96 – $4,660.92 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $4,365.41 – $4,365.41 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,055.16 – $3,524.23 | 10 |