Dcmprn orbit only transcrnl cost in Wisconsin

DCMPRN ORBIT ONLY TRANSCRNL · CPT 61330

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Janesville Janesville not published $2,504.63 – $14,543.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2,415.31 – $14,304.00 4
UnityPoint Health - Meriter Hospital Madison not published $1,525.52 – $5,064.73 10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $2,663.93 – $6,593.54 6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $2,663.93 – $6,593.54 6
Ascension Calumet Hospital, Inc. Chilton not published $1,746.45 – $6,030.68 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $1,746.45 – $6,030.68 7
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $5,996.94 – $5,996.94 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $5,996.94 – $5,996.94 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $1,746.45 – $6,030.68 7
Midwest Orthopedic Specialty Hospital Franklin not published $5,996.94 – $5,996.94 1
SSM Health Waupun Memorial Hospital Waupun not published $3,388.00 – $16,106.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,459.51 – $16,106.00 6
SSM Health Ripon Community Hospital Ripon not published $3,388.00 – $16,106.00 3
SSM Health Monroe Hospital Monroe not published $3,220.41 – $15,012.00 3
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,549.00 – $16,897.00 6
SSM Health St. Mary's Hospital - Madison Madison not published $2,415.31 – $16,624.00 4