Chlmyd pneum dna quant cost in Wisconsin

CHLMYD PNEUM DNA QUANT · CPT 87487

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$42.84 – $192.41	17
SSM Health Ripon Community Hospital	Ripon	not published	$42.84 – $86.68	4
SSM Health Monroe Hospital	Monroe	not published	$42.84 – $74.97	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$42.84 – $192.41	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$42.84 – $165.36	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$41.55 – $76.75	5
UnityPoint Health - Meriter Hospital	Madison	not published	$25.70 – $66.65	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$32.13 – $348.37	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$42.84 – $186.83	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$42.84 – $186.83	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$42.84 – $192.41	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$32.13 – $340.63	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$32.13 – $425.78	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$44.98 – $165.36	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$42.84 – $165.36	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$42.84 – $86.68	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$32.13 – $82.68	7