Dilate ic vasospasm ea add vsl diff territory cost in Wisconsin

HC DILATE IC VASOSPASM EA ADD VSL DIFF TERRITORY · CPT 61642

$1,340.37

lowest in Wisconsin

$1,950.85

state median

$7,788.35

highest in Wisconsin

$4,322.56

national median

Hospital City Cash price Negotiated range Payers
Midwest Orthopedic Specialty Hospital Franklin $1,340.37 $1,670.52 – $1,670.52 1
Ascension St. Francis Hospital, Inc. Milwaukee $1,340.37 $1,670.52 – $1,670.52 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $1,340.37 $1,670.52 – $1,670.52 1
SSM Health St. Mary's Hospital - Janesville Janesville $1,950.85 $18,190.00 – $18,190.00 1
SSM Health St. Mary's Hospital - Madison Madison $2,249.50 $19,855.00 – $19,855.00 1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $7,788.35 $520.23 – $1,621.25 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $7,788.35 $520.23 – $1,621.25 6
SSM Health St. Clare Hospital - Baraboo Baraboo not published $20,477.00 – $20,477.00 1
UnityPoint Health - Meriter Hospital Madison not published $752.33 – $26,222.00 4
Ascension Calumet Hospital, Inc. Chilton not published $337.42 – $1,223.44 6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $337.42 – $1,223.44 6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $337.42 – $1,223.44 6
SSM Health Waupun Memorial Hospital Waupun not published $6,779.00 – $6,779.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $6,779.00 – $6,779.00 1
SSM Health Ripon Community Hospital Ripon not published $6,779.00 – $6,779.00 1
SSM Health Monroe Hospital Monroe not published $14,758.00 – $14,758.00 1
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,302.00 – $20,066.00 6