Incise spine nrv >2 segmnts cost in Wisconsin
INCISE SPINE NRV >2 SEGMNTS · CPT 63190
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $4,539.37 – $4,539.37 | 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 | $4,539.37 – $4,539.37 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $1,272.23 – $4,439.66 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,113.90 – $3,720.43 | 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 | $1,945.77 – $4,854.03 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,945.77 – $4,854.03 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $4,539.37 – $4,539.37 | 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 | $1,272.23 – $4,439.66 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $1,272.23 – $4,439.66 | 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 |