Incise spine accessory nerve cost in Wisconsin
INCISE SPINE ACCESSORY NERVE · CPT 63191
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $4,846.39 – $4,846.39 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $6,779.00 – $27,583.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $14,758.00 – $25,004.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $4,846.39 – $4,846.39 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $1,354.80 – $4,646.96 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,184.50 – $3,956.23 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $19,855.00 – $27,690.00 | 2 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $2,064.57 – $5,080.68 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $2,064.57 – $5,080.68 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $4,846.39 – $4,846.39 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $18,190.00 – $24,224.00 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $20,477.00 – $23,826.00 | 2 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $1,354.80 – $4,646.96 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $1,354.80 – $4,646.96 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $6,779.00 – $27,583.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $6,779.00 – $27,583.00 | 3 |