Close nephrovisceral fistula cost in Wisconsin

CLOSE NEPHROVISCERAL FISTULA · CPT 50526

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $4,428.00 – $4,428.00 1
SSM Health Monroe Hospital Monroe not published $8,960.00 – $8,960.00 1
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,104.00 – $20,066.00 6
UnityPoint Health - Meriter Hospital Madison not published $1,372.66 – $4,584.68 10
SSM Health St. Mary's Hospital - Madison Madison not published $13,962.00 – $13,962.00 1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $2,409.27 – $6,055.25 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $2,409.27 – $6,055.25 6
SSM Health St. Mary's Hospital - Janesville Janesville not published $9,811.00 – $9,811.00 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $11,044.00 – $11,044.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $4,428.00 – $4,428.00 1