healthcosts.net

Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) cost in Wisconsin

HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Additional Bl · CPT 64636

$298.92

lowest in Wisconsin

$1,574.34

state median

$6,119.97

highest in Wisconsin

$1,879.50

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$298.92	$94.54 – $682.40	6
Midwest Orthopedic Specialty Hospital	Franklin	$920.61	$635.33 – $635.33	1
Ascension St. Francis Hospital, Inc.	Milwaukee	$920.61	$635.33 – $635.33	1
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$920.61	$635.33 – $635.33	1
SSM Health St. Mary's Hospital - Janesville	Janesville	$955.90	$1,704.00 – $1,704.00	1
Ascension Calumet Hospital, Inc.	Chilton	$1,318.98	$61.37 – $624.15	7
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$1,574.34	$61.37 – $624.15	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$1,574.34	$61.37 – $624.15	7
SSM Health Monroe Hospital	Monroe	$1,896.95	$2,181.00 – $9,837.00	2
SSM Health Ripon Community Hospital	Ripon	$3,483.70	$1,887.00 – $5,512.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$3,483.70	$1,887.00 – $5,512.00	3
SSM Health Waupun Memorial Hospital	Waupun	$3,483.70	$1,887.00 – $5,512.00	3
UnityPoint Health - Meriter Hospital	Madison	$6,119.97	$53.67 – $1,193.39	14
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,676.00 – $1,676.00	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$94.54 – $682.40	6
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$949.00 – $16,897.00	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$2,036.00 – $2,036.00	1