Ghs simple repair 7.6 - 12.5 cm - 12004 cost in Wisconsin

GHS SIMPLE REPAIR 7.6 - 12.5 CM - 12004 · CPT 12004

$107.06

lowest in Wisconsin

$610.50

state median

$1,142.40

highest in Wisconsin

$470.47

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 $107.06 $113.02 – $503.97 9
SSM Health St. Clare Hospital - Baraboo Baraboo $380.60 $146.16 – $4,401.00 4
Ascension Calumet Hospital, Inc. Chilton $404.13 $74.03 – $282.48 7
SSM Health Monroe Hospital Monroe $447.70 $194.88 – $4,217.00 3
UnityPoint Health - Meriter Hospital Madison $535.16 $25.07 – $214.19 14
SSM Health Ripon Community Hospital Ripon $610.50 $1,887.00 – $2,654.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $610.50 $148.84 – $2,334.00 6
SSM Health Waupun Memorial Hospital Waupun $610.50 $1,887.00 – $2,654.00 3
SSM Health St. Mary's Hospital - Janesville Janesville $804.10 $151.57 – $4,074.00 4
SSM Health St. Mary's Hospital - Madison Madison $889.90 $146.16 – $4,198.00 4
Adventhealth Durand Durand $1,142.40 not published 0
Ascension St. Francis Hospital, Inc. Milwaukee not published $192.94 – $460.24 4
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $192.94 – $460.24 4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $74.03 – $460.95 12
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $743.00 – $16,897.00 6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $74.03 – $460.95 12
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $113.02 – $503.97 9
Midwest Orthopedic Specialty Hospital Franklin not published $192.94 – $460.24 4