Hla x-math non-cytotoxic cost in Wisconsin

Hla x-math non-cytotoxic · CPT 86825

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$109.49 – $360.04	17
SSM Health Ripon Community Hospital	Ripon	not published	$109.49 – $191.61	4
SSM Health Monroe Hospital	Monroe	not published	$109.49 – $191.61	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$109.49 – $360.04	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$109.49 – $422.63	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$106.21 – $143.90	5
UnityPoint Health - Meriter Hospital	Madison	not published	$65.69 – $153.29	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$82.12 – $653.19	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$109.49 – $349.61	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$109.49 – $349.61	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$109.49 – $360.04	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$82.12 – $638.67	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$82.12 – $798.38	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$114.88 – $422.63	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$109.49 – $422.63	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$109.49 – $191.61	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$82.12 – $211.32	7