Aspiration orbital contents cost in Wisconsin

Aspiration orbital contents · CPT 67415

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,388.00 – $7,791.00	3
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1,732.00 – $8,124.00	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,796.05 – $6,798.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,732.00 – $6,687.00	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$1,763.69 – $7,791.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$3,388.00 – $7,791.00	3
SSM Health Monroe Hospital	Monroe	not published	$2,309.33 – $8,701.00	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$383.63 – $383.63	1
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$383.63 – $383.63	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$107.66 – $381.26	7
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$164.68 – $416.85	6
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$1,549.00 – $16,897.00	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$107.66 – $381.26	7
Ascension Calumet Hospital, Inc.	Chilton	not published	$107.66 – $381.26	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$164.68 – $416.85	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$383.63 – $383.63	1
UnityPoint Health - Meriter Hospital	Madison	not published	$93.83 – $313.39	10