Ligation of shunt cost in Wisconsin

LIGATION OF SHUNT · CPT 49428

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $1,550.56 – $1,550.56 1
SSM Health Ripon Community Hospital Ripon not published $3,579.00 – $4,761.00 3
SSM Health Monroe Hospital Monroe not published $4,137.00 – $8,433.00 2
Ascension St. Francis Hospital, Inc. Milwaukee not published $1,550.56 – $1,550.56 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $432.69 – $1,520.55 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,104.00 – $20,066.00 6
UnityPoint Health - Meriter Hospital Madison not published $378.09 – $1,262.82 10
SSM Health St. Mary's Hospital - Madison Madison not published $3,863.00 – $6,044.00 2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $662.76 – $1,662.47 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $662.76 – $1,662.47 6
Midwest Orthopedic Specialty Hospital Franklin not published $1,550.56 – $1,550.56 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $3,232.00 – $10,498.00 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $3,179.00 – $11,257.00 2
Ascension Calumet Hospital, Inc. Chilton not published $432.69 – $1,520.55 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $432.69 – $1,520.55 7
SSM Health Waupun Memorial Hospital Waupun not published $3,579.00 – $4,761.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $3,579.00 – $4,761.00 3