Apply srs headframe add-on cost in Wisconsin

APPLY SRS HEADFRAME ADD-ON · CPT 61800

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$549.69 – $549.69	1
SSM Health Ripon Community Hospital	Ripon	not published	$1,887.00 – $2,654.00	3
SSM Health Monroe Hospital	Monroe	not published	$2,181.00 – $4,217.00	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$549.69 – $549.69	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$143.88 – $511.91	7
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$124.82 – $416.90	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$2,036.00 – $4,198.00	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$533.48 – $559.69	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$533.48 – $559.69	5
Midwest Orthopedic Specialty Hospital	Franklin	not published	$549.69 – $549.69	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,704.00 – $4,074.00	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,676.00 – $4,401.00	2
Ascension Calumet Hospital, Inc.	Chilton	not published	$143.88 – $511.91	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$143.88 – $511.91	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,887.00 – $2,654.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$1,887.00 – $2,654.00	3