Electro-oculography w/i&r cost in Wisconsin

ELECTRO-OCULOGRAPHY W/I&R · CPT 92270

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$100.51 – $134.01	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$96.93 – $129.23	2
UnityPoint Health - Meriter Hospital	Madison	not published	$39.31 – $168.64	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$69.28 – $276.06	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$69.28 – $276.06	9
Ascension Calumet Hospital, Inc.	Chilton	not published	$45.31 – $142.81	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$45.31 – $260.23	12
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$125.16 – $175.22	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$125.16 – $175.22	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$45.31 – $260.23	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$125.16 – $175.22	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$98.70 – $253.99	4
SSM Health Monroe Hospital	Monroe	not published	$129.23 – $129.23	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$96.93 – $129.23	2