App skn cl ssp agrft t/a/l 1 cost in Wisconsin
APP SKN CL SSP AGRFT T/A/L 1 · CPT 15015
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,388.00 – $3,388.00 | 1 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $1,503.10 – $4,982.00 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,558.69 – $4,321.00 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,503.10 – $4,867.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,530.61 – $3,938.76 | 4 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,388.00 – $3,388.00 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $2,004.13 – $4,743.00 | 2 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,766.89 – $1,766.89 | 7 |