Ecog impltd brn npgt <30 d cost in Wisconsin

ECOG IMPLTD BRN NPGT <30 D · CPT 95836

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$27.19 – $36.25	2
UnityPoint Health - Meriter Hospital	Madison	not published	$36.02 – $416.22	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$36.30 – $388.43	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$36.30 – $388.43	9
Ascension Calumet Hospital, Inc.	Chilton	not published	$111.11 – $354.83	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$35.85 – $354.83	11
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$36.21 – $360.98	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$36.21 – $360.98	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$35.85 – $354.83	11
Midwest Orthopedic Specialty Hospital	Franklin	not published	$36.21 – $360.98	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$27.69 – $71.25	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$27.19 – $36.25	2