Mecp2 gene known variant cost in Wisconsin

Mecp2 gene known variant · CPT 81303

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$120.00 – $393.09	14
SSM Health Ripon Community Hospital	Ripon	not published	$120.00 – $210.00	4
SSM Health Monroe Hospital	Monroe	not published	$120.00 – $210.00	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$120.00 – $393.09	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$120.00 – $463.20	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$116.40 – $123.91	2
UnityPoint Health - Meriter Hospital	Madison	not published	$72.00 – $168.02	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$120.00 – $6,990.00	16
SSM Health St. Mary's Hospital - Madison	Madison	not published	$90.00 – $688.86	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$120.00 – $6,990.00	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$120.00 – $393.09	14
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$90.00 – $673.56	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$90.00 – $841.93	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$126.00 – $463.20	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$120.00 – $463.20	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$120.00 – $210.00	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$90.00 – $231.60	7