Ex palate/uvula lesion without closure 42104 cost in Wisconsin
Ex palate/uvula lesion w/o closure 42104 · CPT 42104
$1,569.60
lowest in Wisconsin
$1,569.60
state median
$1,569.60
highest in Wisconsin
$3,728.50
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $1,569.60 | $124.81 – $686.70 | 13 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $801.95 – $801.95 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,388.00 – $4,761.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $3,220.41 – $4,743.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $801.95 – $801.95 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $142.91 – $789.30 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $16,897.00 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $217.91 – $862.97 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,415.31 – $4,982.00 | 4 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $801.95 – $801.95 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,504.63 – $4,321.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,415.31 – $4,867.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $142.91 – $789.30 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $142.91 – $789.30 | 7 |
| 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 | $2,459.51 – $6,329.15 | 6 |