Lymphocytotoxicity assay cost in Wisconsin

Lymphocytotoxicity assay · CPT 86805

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$86.54 – $445.35	17
SSM Health Ripon Community Hospital	Ripon	not published	$105.82 – $331.64	4
SSM Health Monroe Hospital	Monroe	not published	$189.51 – $331.64	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$86.54 – $445.35	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$74.79 – $731.51	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$73.88 – $183.82	5
UnityPoint Health - Meriter Hospital	Madison	not published	$113.71 – $265.34	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$142.13 – $425.25	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$107.57 – $593.10	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$107.57 – $593.10	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$86.54 – $445.35	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$142.13 – $415.80	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$142.13 – $519.76	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$74.79 – $731.51	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$74.79 – $731.51	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$105.82 – $331.64	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$105.82 – $365.75	7