Intrm oph exam est patient cost in Wisconsin

INTRM OPH EXAM EST PATIENT · CPT 92012

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$125.14 – $282.34	4
SSM Health Monroe Hospital	Monroe	not published	$129.32 – $129.32	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$125.14 – $282.34	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$53.58 – $291.66	12
UnityPoint Health - Meriter Hospital	Madison	not published	$46.49 – $199.44	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$82.72 – $319.27	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$82.72 – $319.27	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$125.14 – $282.34	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$96.99 – $129.32	2
Ascension Calumet Hospital, Inc.	Chilton	not published	$53.58 – $291.66	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$53.58 – $291.66	12
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$98.76 – $254.15	4