Hlth bhv ivntj grp 1st 30 cost in Wisconsin

HLTH BHV IVNTJ GRP 1ST 30 · CPT 96164

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$28.93 – $40.50	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$28.93 – $40.50	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$10.11 – $60.14	11
UnityPoint Health - Meriter Hospital	Madison	not published	$9.09 – $39.00	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$27.30 – $36.39	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$14.47 – $63.80	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$14.47 – $63.80	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$28.93 – $40.50	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$10.11 – $32.96	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$10.11 – $60.14	11
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$27.80 – $71.53	4