Change gastric port open cost in Wisconsin

Change gastric port open · CPT 43888

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $415.32 – $1,387.17 10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $725.20 – $1,793.01 6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $725.20 – $1,793.01 6
SSM Health Waupun Memorial Hospital Waupun not published $3,735.00 – $8,770.00 3
SSM Health St. Mary's Hospital - Madison Madison not published $2,581.60 – $9,052.00 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $2,677.07 – $10,498.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2,581.60 – $11,257.00 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,628.85 – $8,770.00 6
SSM Health Ripon Community Hospital Ripon not published $3,735.00 – $8,770.00 3
SSM Health Monroe Hospital Monroe not published $3,442.14 – $10,137.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $1,652.76 – $1,652.76 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $1,652.76 – $1,652.76 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $474.89 – $1,639.95 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $474.89 – $1,639.95 7
Ascension Calumet Hospital, Inc. Chilton not published $474.89 – $1,639.95 7
Midwest Orthopedic Specialty Hospital Franklin not published $1,652.76 – $1,652.76 1
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,104.00 – $16,897.00 6