Extended visual field xm cost in Wisconsin

EXTENDED VISUAL FIELD XM · CPT 92083

$81.40

lowest in Wisconsin

$81.40

state median

$95.93

highest in Wisconsin

$162.75

national median

Hospital City Cash price Negotiated range Payers
SSM Health Monroe Hospital Monroe $81.40 $129.23 – $129.23 1
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $95.93 $44.30 – $276.06 9
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $94.18 – $175.22 4
Ascension St. Francis Hospital, Inc. Milwaukee not published $94.18 – $175.22 4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $28.75 – $260.23 12
UnityPoint Health - Meriter Hospital Madison not published $24.95 – $107.04 10
SSM Health St. Mary's Hospital - Madison Madison not published $96.93 – $129.23 2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $44.30 – $276.06 9
Midwest Orthopedic Specialty Hospital Franklin not published $94.18 – $175.22 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $100.51 – $134.01 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $96.93 – $129.23 2
Ascension Calumet Hospital, Inc. Chilton not published $28.75 – $92.65 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $28.75 – $260.23 12
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $98.70 – $253.99 4