Entamoeb hist dispr ag ia cost in Wisconsin

ENTAMOEB HIST DISPR AG IA · CPT 87336

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$16.00 – $54.30	17
SSM Health Ripon Community Hospital	Ripon	not published	$16.00 – $28.00	4
SSM Health Monroe Hospital	Monroe	not published	$16.00 – $28.00	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$16.00 – $54.30	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$16.00 – $61.76	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$15.52 – $21.49	5
UnityPoint Health - Meriter Hospital	Madison	not published	$9.60 – $22.40	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$12.00 – $97.49	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$16.00 – $52.73	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$16.00 – $52.73	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$16.00 – $54.30	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$12.00 – $95.32	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$12.00 – $119.16	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$16.80 – $61.76	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$16.00 – $61.76	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$16.00 – $28.00	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$12.00 – $30.88	7