Ar gene known famil variant cost in Wisconsin

AR GENE KNOWN FAMIL VARIANT · CPT 81174

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$185.20 – $605.58	14
SSM Health Ripon Community Hospital	Ripon	not published	$185.20 – $324.10	4
SSM Health Monroe Hospital	Monroe	not published	$185.20 – $324.10	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$185.20 – $605.58	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$185.20 – $714.87	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$179.64 – $191.24	2
UnityPoint Health - Meriter Hospital	Madison	not published	$111.12 – $259.30	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$138.90 – $1,105.68	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$185.20 – $588.03	13
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$185.20 – $588.03	13
Midwest Orthopedic Specialty Hospital	Franklin	not published	$185.20 – $605.58	14
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$138.90 – $1,081.09	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$138.90 – $1,351.39	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$194.46 – $714.87	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$185.20 – $714.87	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$185.20 – $324.10	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$138.90 – $357.44	7