Car-t admn autologous cost in Wisconsin

CAR-T ADMN AUTOLOGOUS · CPT 38228

Hospital	City	Cash price	Negotiated range	Payers
UnityPoint Health - Meriter Hospital	Madison	not published	$163.26 – $545.29	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$322.89 – $1,220.12	4
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$322.89 – $1,220.12	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$240.63 – $4,198.00	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$249.53 – $4,074.00	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$240.63 – $4,401.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$245.03 – $630.55	4
SSM Health Monroe Hospital	Monroe	not published	$320.84 – $320.84	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$322.08 – $994.94	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$322.08 – $994.94	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$318.87 – $669.63	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$318.87 – $669.63	5
Midwest Orthopedic Specialty Hospital	Franklin	not published	$322.08 – $994.94	4