Art expos/graft artery perfusion 33987 cost in Wisconsin

Art expos/graft artery perfusion 33987 · CPT 33987

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$4,428.00 – $4,428.00	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$13,962.00 – $13,962.00	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$9,811.00 – $9,811.00	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$11,044.00 – $11,044.00	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$4,428.00 – $4,428.00	1
SSM Health Ripon Community Hospital	Ripon	not published	$4,428.00 – $4,428.00	1
SSM Health Monroe Hospital	Monroe	not published	$8,960.00 – $8,960.00	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$756.78 – $756.78	1
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$756.78 – $756.78	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$200.75 – $727.24	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$309.40 – $795.11	6
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$2,302.00 – $16,897.00	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$200.75 – $727.24	6
Ascension Calumet Hospital, Inc.	Chilton	not published	$200.75 – $727.24	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$309.40 – $795.11	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$756.78 – $756.78	1