healthcosts.net

Infect ag phenotype na hiv-1 ea addl drg cost in Wisconsin

HC INFECT AG PHENOTYPE NA HIV-1 EA ADDL DRG · CPT 87904

$30.21

lowest in Wisconsin

$92.95

state median

$226.84

highest in Wisconsin

$77.00

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$30.21	$26.07 – $100.63	16
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$30.21	$26.07 – $100.63	16
SSM Health St. Mary's Hospital - Madison	Madison	$48.95	$19.55 – $212.00	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	$69.85	$19.55 – $259.12	5
UnityPoint Health - Meriter Hospital	Madison	$77.44	$15.64 – $35.33	14
SSM Health Monroe Hospital	Monroe	$78.10	$26.07 – $45.62	4
SSM Health St. Mary's Hospital - Janesville	Janesville	$92.95	$19.55 – $207.27	5
Midwest Orthopedic Specialty Hospital	Franklin	$122.43	$26.07 – $116.85	17
Ascension St. Francis Hospital, Inc.	Milwaukee	$122.43	$26.07 – $116.85	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$122.43	$26.07 – $116.85	17
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$216.24	$26.07 – $113.46	16
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$216.24	$26.07 – $113.46	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	$226.84	$25.29 – $46.70	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$27.37 – $100.63	11
SSM Health Ripon Community Hospital	Ripon	not published	$26.07 – $52.74	4
SSM Health Waupun Memorial Hospital	Waupun	not published	$26.07 – $52.74	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$19.55 – $50.32	7