Impl oi implt sk tc esp<100 cost in Wisconsin
IMPL OI IMPLT SK TC ESP<100 · CPT 69716
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $2,312.38 – $2,312.38 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $7,609.00 – $18,364.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $12,470.63 – $17,116.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $2,312.38 – $2,312.38 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $650.38 – $2,309.63 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $564.80 – $1,886.43 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $998.70 – $2,525.19 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $9,352.97 – $20,778.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $998.70 – $2,525.19 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $2,312.38 – $2,312.38 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $9,698.86 – $16,582.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $9,352.97 – $18,408.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $650.38 – $2,309.63 | 6 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $650.38 – $2,309.63 | 6 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $7,609.00 – $18,364.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $7,609.00 – $24,508.80 | 6 |