Non-ophthalmic fva cost in Wisconsin

Non-ophthalmic FVA · HCPCS C9733

Hospital City Cash price Negotiated range Payers
SSM Health Monroe Hospital Monroe not published $338.87 – $338.87 1
UnityPoint Health - Meriter Hospital Madison not published $344.96 – $344.96 8
SSM Health St. Mary's Hospital - Madison Madison not published $254.15 – $338.87 2
SSM Health St. Mary's Hospital - Janesville Janesville not published $263.55 – $351.40 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $254.15 – $338.87 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $258.81 – $665.99 4