Autoimmune rheumatoid arthr anl 12 mrk ia cost in Wisconsin

HC AUTOIMMUNE RHEUMATOID ARTHR ANL 12 MRK IA · CPT 81490

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$840.65 – $1,471.14	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$630.49 – $3,526.04	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$630.49 – $3,447.68	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$630.49 – $4,309.60	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$630.49 – $1,622.45	7
SSM Health Ripon Community Hospital	Ripon	not published	$840.65 – $1,471.14	4
SSM Health Monroe Hospital	Monroe	not published	$840.65 – $1,471.14	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$712.51 – $1,975.53	15
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$712.51 – $1,975.53	15
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$840.65 – $3,244.91	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$840.65 – $6,990.00	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$608.33 – $815.43	4
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$840.65 – $3,244.91	12
Ascension Calumet Hospital, Inc.	Chilton	not published	$882.68 – $3,244.91	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$840.65 – $6,990.00	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$712.51 – $1,975.53	15
UnityPoint Health - Meriter Hospital	Madison	not published	$504.39 – $1,176.99	9