healthcosts.net

Impres&prep oral surg splint cost in Wisconsin

IMPRES&PREP ORAL SURG SPLINT · CPT 21085

$3,021.60

lowest in Wisconsin

$3,021.60

state median

$3,021.60

highest in Wisconsin

$1,751.20

national median

Hospital	City	Cash price	Negotiated range	Payers
UnityPoint Health - Meriter Hospital	Madison	$3,021.60	$224.31 – $1,503.13	13
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$225.49 – $2,802.16	4
SSM Health Ripon Community Hospital	Ripon	not published	$1,887.00 – $2,654.00	3
SSM Health Monroe Hospital	Monroe	not published	$230.06 – $4,217.00	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$225.49 – $2,802.16	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$223.25 – $2,567.59	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$226.06 – $2,807.23	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$172.55 – $4,198.00	4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$226.06 – $2,807.23	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$225.49 – $2,802.16	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$178.93 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$172.55 – $4,401.00	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$509.32 – $2,567.59	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$223.25 – $2,567.59	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,887.00 – $2,654.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$175.70 – $2,334.00	6