Appl bdy cst sho to hip 1thi cost in Wisconsin

APPL BDY CST SHO TO HIP 1THI · CPT 29044

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,887.00 – $2,654.00	3
SSM Health St. Mary's Hospital - Madison	Madison	not published	$118.38 – $4,198.00	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$122.76 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$118.38 – $4,401.00	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$120.55 – $2,334.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$1,887.00 – $2,654.00	3
SSM Health Monroe Hospital	Monroe	not published	$157.84 – $4,217.00	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$153.22 – $1,031.72	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$153.22 – $1,031.72	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$151.69 – $1,006.91	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$153.61 – $1,100.89	9
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$151.69 – $1,006.91	12
Ascension Calumet Hospital, Inc.	Chilton	not published	$173.54 – $1,006.91	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$153.61 – $1,100.89	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$153.22 – $1,031.72	4
UnityPoint Health - Meriter Hospital	Madison	not published	$152.41 – $508.46	10