Mr safety determination physician/other qhp cost in Wisconsin

HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP · CPT 76016

$163.24

lowest in Wisconsin

$163.24

state median

$261.90

highest in Wisconsin

$160.20

national median

Hospital City Cash price Negotiated range Payers
Midwest Orthopedic Specialty Hospital Franklin $163.24 $85.50 – $198.11 5
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $163.24 $85.50 – $198.11 5
Ascension St. Francis Hospital, Inc. Milwaukee $163.24 $85.50 – $198.11 5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $163.24 $79.10 – $198.11 7
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $163.24 $79.10 – $198.11 7
Adventhealth Durand Durand $261.90 not published 0
UnityPoint Health - Meriter Hospital Madison not published $26.23 – $86.82 8
SSM Health Waupun Memorial Hospital Waupun not published $206.90 – $206.90 1
SSM Health St. Mary's Hospital - Madison Madison not published $63.40 – $481.50 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $65.74 – $458.93 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $63.40 – $639.50 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $64.56 – $166.13 4
SSM Health Ripon Community Hospital Ripon not published $206.90 – $206.90 1
SSM Health Monroe Hospital Monroe not published $84.53 – $163.51 2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $84.65 – $177.77 5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $84.65 – $177.77 5