Extnd color vision xm cost in Wisconsin

EXTND COLOR VISION XM · CPT 92283

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$30.70 – $80.75	4
SSM Health Monroe Hospital	Monroe	not published	$57.30 – $57.30	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$30.70 – $80.75	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$8.96 – $119.91	12
UnityPoint Health - Meriter Hospital	Madison	not published	$8.08 – $34.66	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$42.98 – $57.30	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$14.35 – $127.20	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$14.35 – $127.20	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$30.70 – $80.75	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$44.57 – $59.42	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$42.98 – $57.30	2
Ascension Calumet Hospital, Inc.	Chilton	not published	$8.96 – $30.39	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$8.96 – $119.91	12
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$43.76 – $112.62	4