Care mgmt svc bhvl hlth cond cost in Wisconsin

CARE MGMT SVC BHVL HLTH COND · CPT 99484

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$28.93 – $127.73	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$28.93 – $127.73	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$28.64 – $102.92	11
UnityPoint Health - Meriter Hospital	Madison	not published	$28.77 – $104.54	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$27.30 – $36.39	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$29.00 – $124.00	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$29.00 – $124.00	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$28.93 – $127.73	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$46.83 – $102.92	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$28.64 – $102.92	11
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$27.80 – $71.53	4