Esphg tot w/laps moblj cost in Wisconsin
ESPHG TOT W/LAPS MOBLJ · CPT 43286
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $5,257.00 – $5,257.00 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $13,176.00 – $13,176.00 | 1 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $2,732.85 – $9,127.72 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $21,366.00 – $21,366.00 | 1 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $4,817.92 – $12,245.43 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $4,817.92 – $12,245.43 | 6 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $14,906.00 – $14,906.00 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $16,781.00 – $16,781.00 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $5,257.00 – $5,257.00 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $5,257.00 – $5,257.00 | 1 |