Egd injection varices cost in Wisconsin

Egd injection varices · CPT 43243

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,449.62 – $4,321.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,397.92 – $4,867.00	4
UnityPoint Health - Meriter Hospital	Madison	not published	$211.92 – $707.81	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$373.42 – $949.56	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$373.42 – $949.56	6
Ascension Calumet Hospital, Inc.	Chilton	not published	$243.65 – $868.50	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$243.65 – $868.50	7
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$906.09 – $906.09	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$906.09 – $906.09	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$243.65 – $868.50	7
Midwest Orthopedic Specialty Hospital	Franklin	not published	$906.09 – $906.09	1
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,388.00 – $4,761.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$1,423.51 – $4,761.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$3,388.00 – $4,761.00	3
SSM Health Monroe Hospital	Monroe	not published	$1,863.90 – $4,743.00	3
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$1,549.00 – $16,897.00	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1,397.92 – $4,982.00	4