Cystoscopy inject material cost in Wisconsin

Cystoscopy inject material · CPT 52327

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$4,050.52 – $14,543.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$3,906.07 – $14,304.00	4
UnityPoint Health - Meriter Hospital	Madison	not published	$231.88 – $774.48	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$406.67 – $1,047.35	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$406.67 – $1,047.35	6
Ascension Calumet Hospital, Inc.	Chilton	not published	$265.71 – $957.94	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$265.71 – $957.94	7
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$964.58 – $964.58	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$964.58 – $964.58	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$265.71 – $957.94	7
Midwest Orthopedic Specialty Hospital	Franklin	not published	$964.58 – $964.58	1
SSM Health Waupun Memorial Hospital	Waupun	not published	$4,428.00 – $16,106.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$3,977.55 – $16,106.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$4,428.00 – $16,106.00	3
SSM Health Monroe Hospital	Monroe	not published	$5,208.09 – $15,012.00	3
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$2,302.00 – $16,897.00	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$3,906.07 – $16,624.00	4