Assay of rbc pg6d enzyme cost in Wisconsin

Assay of rbc pg6d enzyme · CPT 84085

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$9.44 – $16.52	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$7.08 – $54.80	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$7.08 – $53.59	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$7.08 – $67.00	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$7.08 – $18.22	7
SSM Health Ripon Community Hospital	Ripon	not published	$9.44 – $16.52	4
SSM Health Monroe Hospital	Monroe	not published	$9.44 – $16.52	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$9.44 – $30.71	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$9.44 – $30.71	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$9.44 – $36.44	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$9.44 – $36.49	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$9.16 – $12.08	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$9.44 – $36.44	16
Ascension Calumet Hospital, Inc.	Chilton	not published	$9.64 – $36.44	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$9.44 – $36.49	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$9.44 – $30.71	17
UnityPoint Health - Meriter Hospital	Madison	not published	$5.66 – $14.70	9