Ins/rpl prph sac/gstr npg/r cost in Wisconsin

Ins/rpl prph sac/gstr npg/r · CPT 64590

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $959.62 – $959.62 1
SSM Health Ripon Community Hospital Ripon not published $8,923.00 – $44,873.00 3
SSM Health Monroe Hospital Monroe not published $13,352.00 – $41,823.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $959.62 – $959.62 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $306.18 – $961.58 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,302.00 – $16,897.00 6
UnityPoint Health - Meriter Hospital Madison not published $267.29 – $892.75 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $256.38 – $1,051.32 6
SSM Health St. Mary's Hospital - Madison Madison not published $14,021.00 – $41,279.00 4
Midwest Orthopedic Specialty Hospital Franklin not published $959.62 – $959.62 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $13,711.00 – $39,723.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $14,132.97 – $39,754.00 4
Ascension Calumet Hospital, Inc. Chilton not published $306.18 – $961.58 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $306.18 – $961.58 7
SSM Health Waupun Memorial Hospital Waupun not published $8,923.00 – $44,873.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $8,923.00 – $44,873.00 6