Hla x-match noncytotoxc addl cost in Wisconsin

Hla x-match noncytotoxc addl · CPT 86826

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$36.53 – $120.41	17
SSM Health Ripon Community Hospital	Ripon	not published	$36.53 – $63.93	4
SSM Health Monroe Hospital	Monroe	not published	$36.53 – $63.93	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$36.53 – $141.01	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$35.43 – $47.95	5
UnityPoint Health - Meriter Hospital	Madison	not published	$21.92 – $51.15	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$27.40 – $217.72	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$36.53 – $116.92	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$36.53 – $116.92	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$36.53 – $120.41	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$27.40 – $212.90	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$27.40 – $266.13	5
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$36.53 – $120.41	17
Ascension Calumet Hospital, Inc.	Chilton	not published	$38.29 – $141.01	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$36.53 – $141.01	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$36.53 – $63.93	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$27.40 – $70.50	7