Cathj rmvl dev ischmc rmdlg cost in Wisconsin

CATHJ RMVL DEV ISCHMC RMDLG · CPT 53866

Hospital	City	Cash price	Negotiated range	Payers
UnityPoint Health - Meriter Hospital	Madison	not published	$74.56 – $249.03	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$236.76 – $588.43	4
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$236.76 – $588.43	4
SSM Health Waupun Memorial Hospital	Waupun	not published	$2,654.00 – $2,654.00	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$182.01 – $4,198.00	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$188.75 – $4,074.00	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$182.01 – $4,401.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$185.35 – $476.96	4
SSM Health Ripon Community Hospital	Ripon	not published	$2,654.00 – $2,654.00	1
SSM Health Monroe Hospital	Monroe	not published	$242.69 – $4,217.00	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$236.16 – $479.83	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$236.16 – $479.83	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$233.81 – $491.00	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$233.81 – $491.00	5
Midwest Orthopedic Specialty Hospital	Franklin	not published	$236.16 – $479.83	4