Assay of etiocholanolone cost in Wisconsin

Assay of etiocholanolone · CPT 82696

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$26.24 – $47.71	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$19.68 – $191.77	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$19.68 – $187.50	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$19.68 – $234.37	5
SSM Health Ripon Community Hospital	Ripon	not published	$26.24 – $47.71	4
SSM Health Monroe Hospital	Monroe	not published	$26.24 – $45.92	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$19.68 – $50.64	7
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$26.24 – $106.23	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$26.24 – $101.29	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$26.24 – $103.15	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$25.45 – $42.26	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$26.24 – $101.29	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$27.55 – $101.29	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$26.24 – $103.15	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$26.24 – $106.23	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$26.24 – $106.23	17
UnityPoint Health - Meriter Hospital	Madison	not published	$15.74 – $36.74	9