Impres&prep def obt prosth cost in Wisconsin

IMPRES&PREP DEF OBT PROSTH · CPT 21080

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $6,999.38 – $6,999.38 1
SSM Health Monroe Hospital Monroe not published $3,220.41 – $15,012.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $6,999.38 – $6,999.38 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $1,386.59 – $6,389.96 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,549.00 – $16,897.00 6
UnityPoint Health - Meriter Hospital Madison not published $1,227.38 – $4,099.45 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $2,139.98 – $6,986.36 6
SSM Health St. Mary's Hospital - Madison Madison not published $2,415.31 – $16,624.00 4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $2,139.98 – $6,986.36 6
Midwest Orthopedic Specialty Hospital Franklin not published $6,999.38 – $6,999.38 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $2,504.63 – $14,543.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2,415.31 – $14,304.00 4
Ascension Calumet Hospital, Inc. Chilton not published $1,386.59 – $6,389.96 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $1,386.59 – $6,389.96 7
SSM Health Ripon Community Hospital Ripon not published $3,388.00 – $16,106.00 3
SSM Health Waupun Memorial Hospital Waupun not published $3,388.00 – $16,106.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,459.51 – $16,106.00 6