C-lens fitg tech corneosclrl cost in Wisconsin

C-LENS FITG TECH CORNEOSCLRL · CPT 92317

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$28.22 – $37.62	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$27.21 – $36.28	2
UnityPoint Health - Meriter Hospital	Madison	not published	$19.62 – $84.17	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$34.87 – $296.22	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$34.87 – $296.22	9
Ascension Calumet Hospital, Inc.	Chilton	not published	$22.25 – $270.60	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$22.25 – $270.60	12
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$38.11 – $246.98	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$38.11 – $246.98	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$22.25 – $270.60	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$38.11 – $246.98	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$27.71 – $71.30	4
SSM Health Monroe Hospital	Monroe	not published	$36.28 – $36.28	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$27.21 – $36.28	2