HIV 2 pcr qual - sendout cost in Wisconsin

HIV 2 PCR Qual - Sendout · CPT 87537

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$21.92 – $89.70	17
SSM Health Ripon Community Hospital	Ripon	not published	$21.92 – $40.58	4
SSM Health Monroe Hospital	Monroe	not published	$21.92 – $38.36	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$21.92 – $89.70	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$21.92 – $84.61	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$21.26 – $35.92	5
UnityPoint Health - Meriter Hospital	Madison	not published	$13.15 – $31.19	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$16.44 – $163.11	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$21.92 – $87.10	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$21.92 – $87.10	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$21.92 – $89.70	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$16.44 – $159.48	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$16.44 – $199.35	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$23.02 – $84.61	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$21.92 – $84.61	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$21.92 – $40.58	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$16.44 – $42.31	7