Nitroblue tetrazolium dye cost in Wisconsin

Nitroblue tetrazolium dye · CPT 86384

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$13.61 – $50.75	17
SSM Health Ripon Community Hospital	Ripon	not published	$13.61 – $23.82	4
SSM Health Monroe Hospital	Monroe	not published	$13.61 – $23.82	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$13.61 – $50.75	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$13.61 – $52.53	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$13.20 – $20.39	5
UnityPoint Health - Meriter Hospital	Madison	not published	$8.17 – $19.06	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$13.61 – $49.28	16
SSM Health St. Mary's Hospital - Madison	Madison	not published	$10.21 – $92.59	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$13.61 – $49.28	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$13.61 – $50.75	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$10.21 – $90.54	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$10.21 – $113.17	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$14.29 – $52.53	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$13.61 – $52.53	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$13.61 – $23.82	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$10.21 – $26.27	7