Ghs ed peritoneal lavage w guidance if performed cost in Wisconsin

GHS ED PERITONEAL LAVAGE W GUIDANCE IF PERFORMED · CPT 49084

$1,996.07

lowest in Wisconsin

$1,996.07

state median

$1,996.07

highest in Wisconsin

$1,313.95

national median

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison $1,996.07 $92.74 – $778.46 14
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $390.94 – $1,274.55 4
SSM Health Ripon Community Hospital Ripon not published $2,654.00 – $4,761.00 3
SSM Health Monroe Hospital Monroe not published $880.98 – $4,217.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $390.94 – $1,274.55 4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $105.81 – $1,892.79 12
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $743.00 – $16,897.00 6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $163.68 – $2,007.94 9
SSM Health St. Mary's Hospital - Madison Madison not published $660.74 – $4,198.00 4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $163.68 – $2,007.94 9
Midwest Orthopedic Specialty Hospital Franklin not published $390.94 – $1,274.55 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $685.17 – $4,074.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $660.74 – $4,401.00 4
Ascension Calumet Hospital, Inc. Chilton not published $105.81 – $383.18 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $105.81 – $1,892.79 12
SSM Health Waupun Memorial Hospital Waupun not published $2,654.00 – $4,761.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $672.83 – $4,761.00 6