Impres&prep paltl aug prosth cost in Wisconsin

IMPRES&PREP PALTL AUG PROSTH · CPT 21082

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $6,107.54 – $6,107.54 1
SSM Health Ripon Community Hospital Ripon not published $3,388.00 – $16,106.00 3
SSM Health Monroe Hospital Monroe not published $3,220.41 – $15,012.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $6,107.54 – $6,107.54 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $1,174.37 – $5,439.68 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,549.00 – $16,897.00 6
UnityPoint Health - Meriter Hospital Madison not published $1,043.05 – $3,483.79 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $1,792.22 – $5,947.38 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 $1,792.22 – $5,947.38 6
Midwest Orthopedic Specialty Hospital Franklin not published $6,107.54 – $6,107.54 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 $1,174.37 – $5,439.68 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $1,174.37 – $5,439.68 7
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