Igh@/bcl2 translocation alys cost in Wisconsin

Igh@/bcl2 translocation alys · CPT 81278

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$207.31 – $715.22	14
SSM Health Ripon Community Hospital	Ripon	not published	$207.31 – $362.79	4
SSM Health Monroe Hospital	Monroe	not published	$207.31 – $362.79	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$207.31 – $715.22	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$207.31 – $800.22	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$213.31 – $213.31	1
UnityPoint Health - Meriter Hospital	Madison	not published	$124.39 – $255.21	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$207.31 – $694.49	12
SSM Health St. Mary's Hospital - Madison	Madison	not published	$155.48 – $1,237.67	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$207.31 – $694.49	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$207.31 – $715.22	14
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$155.48 – $1,210.16	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$155.48 – $1,512.70	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$217.68 – $800.22	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$207.31 – $800.22	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$207.31 – $362.79	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$155.48 – $400.11	7