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Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen cost in Wisconsin

HC Evaluation Cervicovaginal Fluid for Specific Amniotic Fluid Proteins Qualitative Each Specimen · CPT 84112

$77.55

lowest in Wisconsin

$126.14

state median

$288.85

highest in Wisconsin

$219.60

national median

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Monroe Hospital	Monroe	$77.55	$98.11 – $171.69	4
SSM Health St. Mary's Hospital - Madison	Madison	$89.10	$73.58 – $523.82	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	$100.10	$73.58 – $640.22	5
SSM Health St. Mary's Hospital - Janesville	Janesville	$121.55	$73.58 – $512.19	5
Midwest Orthopedic Specialty Hospital	Franklin	$126.14	$98.11 – $289.21	17
Ascension St. Francis Hospital, Inc.	Milwaukee	$126.14	$98.11 – $289.21	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$126.14	$98.11 – $289.21	17
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$167.58	$92.13 – $378.70	16
SSM Health Ripon Community Hospital	Ripon	$222.75	$98.11 – $171.69	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$222.75	$73.58 – $189.35	7
SSM Health Waupun Memorial Hospital	Waupun	$222.75	$98.11 – $171.69	4
UnityPoint Health - Meriter Hospital	Madison	$244.80	$58.87 – $108.92	14
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$288.85	$98.11 – $307.05	16
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$288.85	$98.11 – $307.05	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$91.01 – $115.39	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$92.13 – $378.70	11
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$92.13 – $378.70	16