Incise spinal cord tract(s) cost in Wisconsin

INCISE SPINAL CORD TRACT(S) · CPT 63170

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $5,681.83 – $5,681.83 1
SSM Health Ripon Community Hospital Ripon not published $6,779.00 – $6,779.00 1
SSM Health Monroe Hospital Monroe not published $14,758.00 – $14,758.00 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $5,681.83 – $5,681.83 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $1,557.52 – $5,359.88 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,302.00 – $16,897.00 6
UnityPoint Health - Meriter Hospital Madison not published $1,361.30 – $4,546.74 10
SSM Health St. Mary's Hospital - Madison Madison not published $19,855.00 – $19,855.00 1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $2,373.93 – $5,860.13 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $2,373.93 – $5,860.13 6
Midwest Orthopedic Specialty Hospital Franklin not published $5,681.83 – $5,681.83 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $18,190.00 – $18,190.00 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $20,477.00 – $20,477.00 1
Ascension Calumet Hospital, Inc. Chilton not published $1,557.52 – $5,359.88 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $1,557.52 – $5,359.88 7
SSM Health Waupun Memorial Hospital Waupun not published $6,779.00 – $6,779.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $6,779.00 – $6,779.00 1