Electrogastrography w/test cost in Wisconsin

ELECTROGASTROGRAPHY W/TEST · CPT 91133

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$100.51 – $1,704.00	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$96.93 – $1,676.00	3
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$949.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$30.85 – $132.35	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$54.25 – $276.06	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$54.25 – $276.06	9
Ascension Calumet Hospital, Inc.	Chilton	not published	$35.20 – $114.86	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$35.20 – $260.23	12
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$116.21 – $175.22	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$116.21 – $175.22	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$35.20 – $260.23	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$116.21 – $175.22	4
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,887.00 – $2,334.00	2
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$98.70 – $2,334.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$1,887.00 – $2,334.00	2
SSM Health Monroe Hospital	Monroe	not published	$129.23 – $2,181.00	2
SSM Health St. Mary's Hospital - Madison	Madison	not published	$96.93 – $2,036.00	3