Full field erg w/i&r cost in Wisconsin

Full field erg w/i&r · CPT 92273

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$126.62 – $423.33	4
SSM Health Monroe Hospital	Monroe	not published	$209.73 – $209.73	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$126.62 – $423.33	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$38.69 – $628.68	11
UnityPoint Health - Meriter Hospital	Madison	not published	$33.26 – $142.69	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	$60.18 – $666.91	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$60.18 – $666.91	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$126.62 – $423.33	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$157.30 – $209.73	2
Ascension Calumet Hospital, Inc.	Chilton	not published	$38.69 – $125.09	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$38.69 – $628.68	11
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$160.18 – $412.19	4