Mecp2 gene dup/delet variant cost in Wisconsin

Mecp2 gene dup/delet variant · CPT 81304

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$150.00 – $492.24	14
SSM Health Ripon Community Hospital	Ripon	not published	$150.00 – $262.50	4
SSM Health Monroe Hospital	Monroe	not published	$150.00 – $262.50	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$150.00 – $492.24	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$150.00 – $579.00	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$145.50 – $154.90	2
UnityPoint Health - Meriter Hospital	Madison	not published	$90.00 – $210.01	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$150.00 – $6,990.00	16
SSM Health St. Mary's Hospital - Madison	Madison	not published	$112.50 – $861.09	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$150.00 – $6,990.00	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$150.00 – $492.24	14
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$112.50 – $841.93	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$112.50 – $1,052.44	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$157.50 – $579.00	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$150.00 – $579.00	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$150.00 – $262.50	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$112.50 – $289.50	7