Epidrm agrft t/a/l 1st 100 cost in Wisconsin
EPIDRM AGRFT T/A/L 1ST 100 · CPT 15110
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $640.15 – $2,138.10 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,122.75 – $3,149.83 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,122.75 – $3,149.83 | 6 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $734.96 – $2,880.94 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $734.96 – $2,880.94 | 7 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $2,899.63 – $2,899.63 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,558.69 – $4,321.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,503.10 – $4,867.00 | 4 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $2,899.63 – $2,899.63 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $734.96 – $2,880.94 | 7 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $2,899.63 – $2,899.63 | 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 | $1,530.61 – $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 | $2,004.13 – $4,743.00 | 3 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $1,503.10 – $4,982.00 | 4 |