Breath tst attain/anal c-14 cost in Wisconsin

Breath tst attain/anal c-14 · CPT 78267

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$13.83 – $19.36	3
SSM Health St. Mary's Hospital - Madison	Madison	not published	$8.30 – $63.94	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$8.30 – $62.51	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$8.30 – $78.16	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$8.30 – $21.35	6
SSM Health Ripon Community Hospital	Ripon	not published	$13.83 – $19.36	3
SSM Health Monroe Hospital	Monroe	not published	$11.06 – $19.36	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$11.06 – $35.40	15
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$11.06 – $35.40	15
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$11.06 – $42.69	15
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$11.06 – $34.61	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$11.10 – $11.13	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$11.06 – $42.69	15
Ascension Calumet Hospital, Inc.	Chilton	not published	$11.25 – $42.69	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$11.06 – $34.61	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$11.06 – $35.40	15
UnityPoint Health - Meriter Hospital	Madison	not published	$6.64 – $12.31	9