Gjb2 gene known fam variants cost in Wisconsin

Gjb2 gene known fam variants · CPT 81253

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$61.52 – $201.86	14
SSM Health Ripon Community Hospital	Ripon	not published	$61.52 – $107.66	4
SSM Health Monroe Hospital	Monroe	not published	$61.52 – $107.66	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$61.52 – $201.86	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$61.52 – $237.47	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$59.67 – $63.54	2
UnityPoint Health - Meriter Hospital	Madison	not published	$36.91 – $86.13	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$61.52 – $6,990.00	16
SSM Health St. Mary's Hospital - Madison	Madison	not published	$46.14 – $353.15	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$61.52 – $6,990.00	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$61.52 – $201.86	14
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$46.14 – $345.31	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$46.14 – $431.63	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$64.60 – $237.47	7
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$46.14 – $118.73	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$61.52 – $237.47	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$61.52 – $107.66	4