Mitochondrial gene cost in Wisconsin

MITOCHONDRIAL GENE · CPT 81440

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $3,490.20 – $10,899.00 11
SSM Health Ripon Community Hospital Ripon not published $3,324.00 – $5,817.00 4
SSM Health Monroe Hospital Monroe not published $3,324.00 – $5,817.00 4
Ascension St. Francis Hospital, Inc. Milwaukee not published $3,490.20 – $10,899.00 11
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $3,490.20 – $12,830.64 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $3,224.28 – $3,432.46 2
UnityPoint Health - Meriter Hospital Madison not published $1,994.40 – $4,653.90 9
SSM Health St. Mary's Hospital - Madison Madison not published $2,493.00 – $19,081.52 5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $3,490.20 – $10,583.09 13
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $3,490.20 – $10,583.09 13
Midwest Orthopedic Specialty Hospital Franklin not published $3,490.20 – $10,899.00 11
SSM Health St. Mary's Hospital - Janesville Janesville not published $2,493.00 – $18,657.50 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2,493.00 – $23,321.88 5
Ascension Calumet Hospital, Inc. Chilton not published $3,490.20 – $12,830.64 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $3,490.20 – $12,830.64 7
SSM Health Waupun Memorial Hospital Waupun not published $3,324.00 – $5,817.00 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,493.00 – $6,415.32 7