Esphg tot w/thrcm cost in Wisconsin
ESPHG TOT W/THRCM · CPT 43112
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $4,428.00 – $4,428.00 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $8,960.00 – $8,960.00 | 1 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $20,066.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $2,910.53 – $9,721.17 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $13,962.00 – $13,962.00 | 1 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $5,226.40 – $13,344.93 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $5,226.40 – $13,344.93 | 6 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $9,811.00 – $9,811.00 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $11,044.00 – $11,044.00 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $4,428.00 – $4,428.00 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $4,428.00 – $4,428.00 | 1 |