Extrnl counterpulse, per tx cost in Wisconsin

Extrnl counterpulse, per tx · HCPCS G0166

Hospital City Cash price Negotiated range Payers
SSM Health Monroe Hospital Monroe not published $129.23 – $129.23 1
UnityPoint Health - Meriter Hospital Madison not published $92.06 – $266.03 9
SSM Health St. Mary's Hospital - Madison Madison not published $96.93 – $129.23 2
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
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $98.70 – $253.99 4