Assay of fluoride cost in Wisconsin

Assay of fluoride · CPT 82735

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$18.54 – $37.50	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$13.90 – $150.75	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$13.90 – $147.39	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$13.90 – $184.26	5
SSM Health Ripon Community Hospital	Ripon	not published	$18.54 – $37.50	4
SSM Health Monroe Hospital	Monroe	not published	$18.54 – $32.45	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$13.90 – $35.78	7
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$18.54 – $82.63	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$18.54 – $71.56	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$18.54 – $80.23	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$17.98 – $33.22	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$18.54 – $71.56	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$19.47 – $71.56	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$18.54 – $80.23	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$18.54 – $82.63	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$18.54 – $82.63	17
UnityPoint Health - Meriter Hospital	Madison	not published	$11.12 – $28.84	9