Hearing loss dup/del analys cost in Wisconsin

HEARING LOSS DUP/DEL ANALYS · CPT 81431

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$679.57 – $2,228.67	14
SSM Health Ripon Community Hospital	Ripon	not published	$679.57 – $1,189.25	4
SSM Health Monroe Hospital	Monroe	not published	$679.57 – $1,189.25	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$679.57 – $2,228.67	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$679.57 – $2,623.14	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$659.18 – $701.75	2
UnityPoint Health - Meriter Hospital	Madison	not published	$407.74 – $951.46	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$509.68 – $3,901.09	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$679.57 – $6,990.00	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$679.57 – $6,990.00	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$679.57 – $2,228.67	14
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$509.68 – $3,814.40	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$509.68 – $4,768.02	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$713.55 – $2,623.14	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$679.57 – $2,623.14	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$679.57 – $1,189.25	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$509.68 – $1,311.57	7