Cdp-sot 6 cond w/i&r mct&adt cost in Wisconsin

Cdp-sot 6 cond w/i&r mct&adt · CPT 92549

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$100.51 – $134.01	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$96.93 – $129.23	2
UnityPoint Health - Meriter Hospital	Madison	not published	$18.68 – $80.14	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$33.03 – $276.06	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$33.03 – $276.06	9
Ascension Calumet Hospital, Inc.	Chilton	not published	$48.26 – $59.42	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$48.26 – $260.23	11
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$60.01 – $175.22	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$60.01 – $175.22	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$48.26 – $260.23	11
Midwest Orthopedic Specialty Hospital	Franklin	not published	$60.01 – $175.22	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$98.70 – $253.99	4
SSM Health Monroe Hospital	Monroe	not published	$129.23 – $129.23	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$96.93 – $129.23	2