Assay of PSA complexed cost in Wisconsin

Assay of psa complexed · CPT 84152

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$18.39 – $37.22	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$13.79 – $149.60	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$13.79 – $146.29	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$13.79 – $182.85	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$13.79 – $35.49	7
SSM Health Ripon Community Hospital	Ripon	not published	$18.39 – $37.22	4
SSM Health Monroe Hospital	Monroe	not published	$18.39 – $32.18	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$18.39 – $82.63	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$18.39 – $82.63	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$18.39 – $70.99	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$18.39 – $80.23	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$17.84 – $32.96	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$18.39 – $70.99	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$19.31 – $70.99	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$18.39 – $80.23	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$18.39 – $82.63	17
UnityPoint Health - Meriter Hospital	Madison	not published	$11.03 – $28.62	9