Dx gastr intub w/asp specs cost in Wisconsin

Dx gastr intub w/asp specs · CPT 43755

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$97.20 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$93.74 – $4,401.00	4
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$54.60 – $182.36	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$95.00 – $685.40	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$95.00 – $685.40	9
Ascension Calumet Hospital, Inc.	Chilton	not published	$62.45 – $626.89	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$62.45 – $626.89	12
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$151.93 – $508.32	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$151.93 – $508.32	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$62.45 – $626.89	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$151.93 – $508.32	4
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,887.00 – $2,654.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$95.45 – $2,334.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$1,887.00 – $2,654.00	3
SSM Health Monroe Hospital	Monroe	not published	$124.98 – $4,217.00	3
SSM Health St. Mary's Hospital - Madison	Madison	not published	$93.74 – $4,198.00	4