Mrgfus strtctc ablt trgt icr cost in Wisconsin

MRGFUS STRTCTC ABLT TRGT ICR · CPT 61715

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $3,705.53 – $3,705.53 1
SSM Health Ripon Community Hospital Ripon not published $7,609.00 – $7,609.00 1
SSM Health Monroe Hospital Monroe not published $10,823.26 – $16,164.00 2
Ascension St. Francis Hospital, Inc. Milwaukee not published $3,705.53 – $3,705.53 1
UnityPoint Health - Meriter Hospital Madison not published $1,002.63 – $3,328.73 9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $4,564.61 – $4,564.61 1
SSM Health St. Mary's Hospital - Madison Madison not published $8,117.45 – $20,778.00 3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $4,564.61 – $4,564.61 1
Midwest Orthopedic Specialty Hospital Franklin not published $3,705.53 – $3,705.53 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $8,417.64 – $16,352.00 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $8,117.45 – $18,408.00 3
SSM Health Waupun Memorial Hospital Waupun not published $7,609.00 – $7,609.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $7,609.00 – $21,271.19 4