Destruction by injection tx of nerve 64630 cost in Wisconsin

Destruction by Injection tx of nerve 64630 · CPT 64630

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$668.17 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$644.34 – $4,401.00	4
UnityPoint Health - Meriter Hospital	Madison	not published	$174.28 – $582.10	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$302.06 – $1,906.70	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$302.06 – $1,906.70	9
Ascension Calumet Hospital, Inc.	Chilton	not published	$198.02 – $877.58	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$198.02 – $1,797.37	12
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$845.67 – $1,210.29	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$845.67 – $1,210.29	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$198.02 – $1,797.37	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$845.67 – $1,210.29	4
SSM Health Waupun Memorial Hospital	Waupun	not published	$2,654.00 – $3,030.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$656.13 – $3,030.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$2,654.00 – $3,030.00	3
SSM Health Monroe Hospital	Monroe	not published	$859.12 – $4,217.00	3
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$644.34 – $4,198.00	4