Heart first pass add-on cost in Wisconsin

Heart first pass add-on · CPT 78496

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$68.00 – $68.00	1
SSM Health Ripon Community Hospital	Ripon	not published	$68.42 – $68.42	1
SSM Health Monroe Hospital	Monroe	not published	$55.75 – $55.75	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$68.00 – $68.00	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$24.95 – $50.45	7
UnityPoint Health - Meriter Hospital	Madison	not published	$17.44 – $57.73	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$30.28 – $66.03	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$167.32 – $167.32	1
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$30.28 – $66.03	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$68.00 – $68.00	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$159.47 – $159.47	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$222.23 – $222.23	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$24.95 – $50.45	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$24.95 – $50.45	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$68.42 – $68.42	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$68.42 – $68.42	1