Multifocal erg w/i&r cost in Wisconsin

Multifocal erg w/i&r · CPT 92274

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$112.23 – $212.70	4
SSM Health Monroe Hospital	Monroe	not published	$124.98 – $124.98	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$112.23 – $212.70	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$35.35 – $315.86	11
UnityPoint Health - Meriter Hospital	Madison	not published	$30.98 – $132.90	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$93.74 – $124.98	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$54.48 – $335.08	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$54.48 – $335.08	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$112.23 – $212.70	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$97.20 – $129.61	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$93.74 – $124.98	2
Ascension Calumet Hospital, Inc.	Chilton	not published	$35.35 – $110.70	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$35.35 – $315.86	11
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$95.45 – $245.63	4