Arthrd lat xtrcvtry tq ea ad cost in Wisconsin

ARTHRD LAT XTRCVTRY TQ EA AD · CPT 22534

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $1,276.03 – $1,276.03 1
SSM Health Ripon Community Hospital Ripon not published $1,887.00 – $6,779.00 3
SSM Health Monroe Hospital Monroe not published $2,181.00 – $14,758.00 2
Ascension St. Francis Hospital, Inc. Milwaukee not published $1,276.03 – $1,276.03 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $351.85 – $1,250.70 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $4,935.00 – $20,066.00 6
UnityPoint Health - Meriter Hospital Madison not published $307.44 – $1,026.85 10
SSM Health St. Mary's Hospital - Madison Madison not published $2,036.00 – $19,855.00 2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $539.63 – $1,367.43 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $539.63 – $1,367.43 6
Midwest Orthopedic Specialty Hospital Franklin not published $1,276.03 – $1,276.03 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $1,704.00 – $18,190.00 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,676.00 – $20,477.00 2
Ascension Calumet Hospital, Inc. Chilton not published $351.85 – $1,250.70 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $351.85 – $1,250.70 7
SSM Health Waupun Memorial Hospital Waupun not published $1,887.00 – $6,779.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,887.00 – $6,779.00 3