Incis addl spine segment cost in Wisconsin
INCIS ADDL SPINE SEGMENT · CPT 22216
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $1,290.54 – $1,290.54 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $1,887.00 – $3,735.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $2,181.00 – $8,433.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $1,290.54 – $1,290.54 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $354.28 – $1,261.28 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $20,066.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $309.76 – $1,034.60 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,036.00 – $6,044.00 | 2 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $543.95 – $1,378.99 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $543.95 – $1,378.99 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $1,290.54 – $1,290.54 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,704.00 – $10,498.00 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,676.00 – $11,257.00 | 2 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $354.28 – $1,261.28 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $354.28 – $1,261.28 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1,887.00 – $3,735.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,887.00 – $3,735.00 | 3 |