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

HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl · CPT 64635

$507.21

lowest in Wisconsin

$3,148.11

state median

$8,968.95

highest in Wisconsin

$3,375.00

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 $507.21 $308.33 – $1,654.43 6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $1,240.20 $308.33 – $1,654.43 6
Midwest Orthopedic Specialty Hospital Franklin $1,841.22 $1,538.63 – $1,538.63 1
Ascension St. Francis Hospital, Inc. Milwaukee $1,841.22 $1,538.63 – $1,538.63 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $1,841.22 $1,538.63 – $1,538.63 1
SSM Health St. Mary's Hospital - Janesville Janesville $2,664.20 $1,475.17 – $6,798.00 4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $3,148.11 $203.01 – $1,513.20 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $3,148.11 $203.01 – $1,513.20 7
Ascension Calumet Hospital, Inc. Chilton $3,439.95 $203.01 – $1,513.20 7
SSM Health Monroe Hospital Monroe $4,203.65 $1,896.75 – $8,701.00 3
SSM Health Ripon Community Hospital Ripon $5,696.90 $3,388.00 – $7,791.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $5,696.90 $1,448.59 – $7,791.00 6
SSM Health Waupun Memorial Hospital Waupun $5,696.90 $3,388.00 – $7,791.00 3
UnityPoint Health - Meriter Hospital Madison $8,968.95 $177.36 – $1,748.94 14
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,422.56 – $6,687.00 4
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 $1,422.56 – $8,124.00 4