healthcosts.net

Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug cost in Wisconsin

HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push Same Substance/Drug · CPT 96376

$58.85

lowest in Wisconsin

$121.74

state median

$213.40

highest in Wisconsin

$154.05

national median

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Monroe Hospital	Monroe	$58.85	not published	0
Midwest Orthopedic Specialty Hospital	Franklin	$109.18	$47.46 – $47.46	1
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$109.18	$47.46 – $47.46	1
Ascension St. Francis Hospital, Inc.	Milwaukee	$109.18	$47.46 – $47.46	1
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$117.42	$32.21 – $32.21	2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$117.42	$32.21 – $32.21	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$117.66	$16.56 – $46.07	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$117.66	$16.56 – $46.07	6
Adventhealth Durand	Durand	$121.74	not published	0
SSM Health St. Clare Hospital - Baraboo	Baraboo	$129.80	not published	0
UnityPoint Health - Meriter Hospital	Madison	$136.18	$21.87 – $144.69	11
SSM Health St. Mary's Hospital - Madison	Madison	$175.45	not published	0
SSM Health St. Mary's Hospital - Janesville	Janesville	$188.65	not published	0
Ascension Calumet Hospital, Inc.	Chilton	$189.24	$32.21 – $32.21	2
SSM Health Ripon Community Hospital	Ripon	$213.40	not published	0
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$213.40	not published	0
SSM Health Waupun Memorial Hospital	Waupun	$213.40	not published	0