Assay of feces for trypsin cost in Wisconsin

Assay of feces for trypsin · CPT 84490

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$9.93 – $17.38	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$7.45 – $61.79	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$7.45 – $60.41	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$7.45 – $75.54	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$7.45 – $19.16	7
SSM Health Ripon Community Hospital	Ripon	not published	$9.93 – $17.38	4
SSM Health Monroe Hospital	Monroe	not published	$9.93 – $17.38	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$9.93 – $34.22	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$9.93 – $34.22	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$9.93 – $38.33	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$9.93 – $33.23	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$9.63 – $13.63	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$9.93 – $38.33	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$10.43 – $38.33	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$9.93 – $33.23	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$9.93 – $34.22	17
UnityPoint Health - Meriter Hospital	Madison	not published	$5.96 – $13.89	9