Fallopian tube recnl cost in Wisconsin

HC FALLOPIAN TUBE RECNL · CPT 58345

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$984.68 – $984.68	1
SSM Health Ripon Community Hospital	Ripon	not published	$3,388.00 – $7,791.00	3
SSM Health Monroe Hospital	Monroe	not published	$3,144.33 – $8,701.00	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$984.68 – $984.68	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$300.57 – $1,031.81	7
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$1,549.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$260.27 – $869.30	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$460.55 – $1,128.12	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$2,358.24 – $8,124.00	4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$460.55 – $1,128.12	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$984.68 – $984.68	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$2,445.46 – $6,798.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$2,358.24 – $6,687.00	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$300.57 – $1,031.81	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$300.57 – $1,031.81	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,388.00 – $7,791.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$2,401.40 – $7,791.00	6