Exc ch wal tum without lymphadec cost in Wisconsin
EXC CH WAL TUM W/O LYMPHADEC · CPT 21602
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $6,019.00 – $18,364.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $7,048.20 – $17,116.00 | 3 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,360.73 – $4,544.84 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $5,286.15 – $18,955.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $2,383.20 – $6,135.36 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $2,383.20 – $6,135.36 | 6 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $5,481.64 – $16,582.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $5,286.15 – $17,411.00 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $6,019.00 – $18,364.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $5,382.89 – $18,364.00 | 6 |