Dis site tele svcs rhc/fqhc cost in Wisconsin

Dis site tele svcs RHC/FQHC · HCPCS G2025

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $91.42 – $91.42 1
UnityPoint Health - Meriter Hospital Madison not published $90.37 – $154.14 8
SSM Health St. Mary's Hospital - Madison Madison not published $277.42 – $277.42 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $271.25 – $271.25 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $339.07 – $339.07 1
SSM Health Waupun Memorial Hospital Waupun not published $91.42 – $91.42 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $91.42 – $91.42 1