Ghs paravert facet/nerve lumb ea add bil cost in Wisconsin

GHS PARAVERT FACET/NERVE LUMB EA ADD BIL · CPT 64495

$82.68

lowest in Wisconsin

$661.77

state median

$3,955.05

highest in Wisconsin

$962.00

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$82.68	$82.94 – $354.45	6
HSHS St. Nicholas Hospital	SHEBOYGAN	$395.34	$337.74 – $358.00	7
HSHS St. Vincent Hospital	Green Bay	$395.34	$350.17 – $371.18	7
HSHS St. Clare Memorial Hospital	OCONTO FALLS	$395.34	$599.00 – $634.94	7
Midwest Orthopedic Specialty Hospital	Franklin	$643.42	$320.41 – $320.41	1
Ascension St. Francis Hospital, Inc.	Milwaukee	$643.42	$320.41 – $320.41	1
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$643.42	$320.41 – $320.41	1
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$661.77	$54.21 – $324.19	7
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$661.77	$54.21 – $324.19	7
SSM Health Monroe Hospital	Monroe	$680.35	$2,181.00 – $9,837.00	2
SSM Health St. Mary's Hospital - Janesville	Janesville	$746.35	$1,704.00 – $1,704.00	1
Ascension Calumet Hospital, Inc.	Chilton	$783.18	$54.21 – $324.19	7
UnityPoint Health - Meriter Hospital	Madison	$1,027.20	$47.13 – $157.41	13
SSM Health St. Mary's Hospital - Madison	Madison	$1,651.65	$2,036.00 – $2,036.00	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$3,955.05	$433.00 – $5,512.00	4
SSM Health Waupun Memorial Hospital	Waupun	$3,955.05	$433.00 – $5,512.00	4
SSM Health Ripon Community Hospital	Ripon	$3,955.05	$433.00 – $5,512.00	4
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$949.00 – $16,897.00	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$82.94 – $354.45	6
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,676.00 – $1,676.00	1