Impl absrb msh/prsth dly cls cost in Wisconsin

IMPL ABSRB MSH/PRSTH DLY CLS · CPT 15778

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $1,261.34 – $1,261.34 1
SSM Health Ripon Community Hospital Ripon not published $7,609.00 – $7,609.00 1
SSM Health Monroe Hospital Monroe not published $16,164.00 – $16,164.00 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $1,261.34 – $1,261.34 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $383.44 – $1,385.55 6
UnityPoint Health - Meriter Hospital Madison not published $339.02 – $1,132.33 10
SSM Health St. Mary's Hospital - Madison Madison not published $20,778.00 – $20,778.00 1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $1,224.14 – $1,514.87 5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $1,224.14 – $1,514.87 5
Midwest Orthopedic Specialty Hospital Franklin not published $1,261.34 – $1,261.34 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $16,352.00 – $16,352.00 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $18,408.00 – $18,408.00 1
Ascension Calumet Hospital, Inc. Chilton not published $383.44 – $1,385.55 6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $383.44 – $1,385.55 6
SSM Health Waupun Memorial Hospital Waupun not published $7,609.00 – $7,609.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $7,609.00 – $7,609.00 1