Blood clot retraction cost in Wisconsin

BLOOD CLOT RETRACTION · CPT 85170

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$6.00 – $38.30	17
SSM Health Ripon Community Hospital	Ripon	not published	$7.32 – $28.53	4
SSM Health Monroe Hospital	Monroe	not published	$16.30 – $28.53	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$6.00 – $38.30	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$5.18 – $62.92	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$5.12 – $15.81	5
UnityPoint Health - Meriter Hospital	Madison	not published	$9.78 – $22.83	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$12.22 – $29.44	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$7.44 – $51.01	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$7.44 – $51.01	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$6.00 – $38.30	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$12.22 – $28.79	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$12.22 – $35.98	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$5.18 – $62.92	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$5.18 – $62.92	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$7.32 – $28.53	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$7.32 – $31.46	7