Ndsc hrv uxtr art 1 sgm cab cost in Wisconsin

NDSC HRV UXTR ART 1 SGM CAB · CPT 33509

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$626.60 – $626.60	1
SSM Health Ripon Community Hospital	Ripon	not published	$3,735.00 – $3,735.00	1
SSM Health Monroe Hospital	Monroe	not published	$8,433.00 – $8,433.00	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$626.60 – $626.60	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$167.10 – $608.03	6
UnityPoint Health - Meriter Hospital	Madison	not published	$146.01 – $487.67	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$6,044.00 – $6,044.00	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$257.96 – $664.77	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$257.96 – $664.77	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$626.60 – $626.60	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$10,498.00 – $10,498.00	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$11,257.00 – $11,257.00	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$167.10 – $608.03	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$167.10 – $608.03	6
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,735.00 – $3,735.00	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$3,735.00 – $3,735.00	1