Assay of methemalbumin cost in Wisconsin

Assay of methemalbumin · CPT 83857

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$10.74 – $21.74	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$8.06 – $87.34	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$8.06 – $85.39	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$8.06 – $106.76	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$8.06 – $20.73	7
SSM Health Ripon Community Hospital	Ripon	not published	$10.74 – $21.74	4
SSM Health Monroe Hospital	Monroe	not published	$10.74 – $18.80	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$10.74 – $48.40	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$10.74 – $48.40	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$10.74 – $41.46	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$10.74 – $47.00	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$10.42 – $19.24	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$10.74 – $41.46	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$11.28 – $41.46	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$10.74 – $47.00	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$10.74 – $48.40	17
UnityPoint Health - Meriter Hospital	Madison	not published	$6.44 – $16.69	9