Caloric vstblr test w/rec cost in Wisconsin

Caloric vstblr test w/rec · CPT 92538

Hospital	City	Cash price	Negotiated range	Payers
UnityPoint Health - Meriter Hospital	Madison	not published	$5.68 – $24.37	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$10.59 – $335.08	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$10.59 – $335.08	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$157.30 – $209.73	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$157.30 – $209.73	2
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$160.18 – $412.19	4
SSM Health Monroe Hospital	Monroe	not published	$209.73 – $209.73	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$14.65 – $212.70	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$14.65 – $212.70	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$17.02 – $315.86	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$17.02 – $315.86	11
Ascension Calumet Hospital, Inc.	Chilton	not published	$17.02 – $20.08	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$14.65 – $212.70	4