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Ghs ot dds rom cost in Wisconsin

GHS OT DDS ROM · CPT 95851

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $22.62 – $60.89 4
SSM Health Monroe Hospital Monroe not published $6.41 – $6.41 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $22.62 – $60.89 4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $8.23 – $71.99 12
UnityPoint Health - Meriter Hospital Madison not published $7.14 – $30.63 10
SSM Health St. Mary's Hospital - Madison Madison not published $4.81 – $6.41 2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $12.68 – $78.81 9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $12.68 – $78.81 9
SSM Health St. Clare Hospital - Baraboo Baraboo not published $4.81 – $6.41 2
Midwest Orthopedic Specialty Hospital Franklin not published $22.62 – $60.89 4
Ascension Calumet Hospital, Inc. Chilton not published $8.23 – $71.99 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $8.23 – $71.99 12
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $4.81 – $12.37 4