Fluorescein&icg angiography cost in Wisconsin

FLUORESCEIN&ICG ANGIOGRAPHY · CPT 92242

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$186.90 – $423.33	4
SSM Health Monroe Hospital	Monroe	not published	$209.73 – $209.73	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$186.90 – $423.33	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$57.55 – $628.68	11
UnityPoint Health - Meriter Hospital	Madison	not published	$50.24 – $215.53	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$157.30 – $209.73	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$88.84 – $666.91	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$88.84 – $666.91	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$186.90 – $423.33	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$157.30 – $209.73	2
Ascension Calumet Hospital, Inc.	Chilton	not published	$57.55 – $183.43	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$57.55 – $628.68	11
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$160.18 – $412.19	4