Brca1&2 gen ful dup/del alys cost in Wisconsin

Brca1&2 gen ful dup/del alys · CPT 81164

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$584.23 – $1,022.40	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$438.17 – $3,487.93	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$438.17 – $3,410.44	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$438.17 – $4,263.03	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$438.17 – $1,127.56	7
SSM Health Ripon Community Hospital	Ripon	not published	$584.23 – $1,022.40	4
SSM Health Monroe Hospital	Monroe	not published	$584.23 – $1,022.40	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$584.23 – $1,911.13	14
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$584.23 – $1,911.13	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$584.23 – $2,255.13	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$584.23 – $1,855.73	13
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$566.70 – $603.29	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$584.23 – $2,255.13	12
Ascension Calumet Hospital, Inc.	Chilton	not published	$613.44 – $2,255.13	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$584.23 – $1,855.73	13
Midwest Orthopedic Specialty Hospital	Franklin	not published	$584.23 – $1,911.13	14
UnityPoint Health - Meriter Hospital	Madison	not published	$350.54 – $817.98	9