Cftr gene intron poly t cost in Wisconsin

Cftr gene intron poly t · CPT 81224

Hospital	City	Cash price	Negotiated range	Payers
UnityPoint Health - Meriter Hospital	Madison	not published	$101.25 – $236.26	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$168.75 – $6,990.00	16
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$168.75 – $6,990.00	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$168.75 – $295.31	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$126.56 – $968.73	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$126.56 – $947.19	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$126.56 – $1,183.98	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$126.56 – $325.69	7
SSM Health Ripon Community Hospital	Ripon	not published	$168.75 – $295.31	4
SSM Health Monroe Hospital	Monroe	not published	$168.75 – $295.31	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$168.75 – $553.63	14
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$168.75 – $553.63	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$168.75 – $651.38	12
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$168.75 – $651.38	12
Ascension Calumet Hospital, Inc.	Chilton	not published	$177.19 – $651.38	7
Midwest Orthopedic Specialty Hospital	Franklin	not published	$168.75 – $553.63	14
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$163.69 – $174.27	2