Dise eval slp do brth flx dx cost in Wisconsin

Dise eval slp do brth flx dx · CPT 42975

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,344.61 – $4,321.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,296.65 – $4,867.00	4
UnityPoint Health - Meriter Hospital	Madison	not published	$88.13 – $294.35	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$153.02 – $457.36	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$153.02 – $457.36	6
Ascension Calumet Hospital, Inc.	Chilton	not published	$100.99 – $418.31	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$100.99 – $418.31	6
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$422.12 – $422.12	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$422.12 – $422.12	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$100.99 – $418.31	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$422.12 – $422.12	1
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,887.00 – $3,388.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$1,320.39 – $3,397.79	6
SSM Health Ripon Community Hospital	Ripon	not published	$1,887.00 – $3,388.00	3
SSM Health Monroe Hospital	Monroe	not published	$1,728.87 – $4,743.00	3
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1,296.65 – $4,982.00	4