Ntrk3 translocation analysis cost in Wisconsin

NTRK3 TRANSLOCATION ANALYSIS · CPT 81193

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Ripon Community Hospital	Ripon	not published	$207.31 – $362.79	4
SSM Health Monroe Hospital	Monroe	not published	$207.31 – $362.79	4
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$213.31 – $213.31	1
UnityPoint Health - Meriter Hospital	Madison	not published	$124.39 – $255.21	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$155.48 – $1,237.67	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$207.31 – $694.49	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$207.31 – $694.49	12
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$155.48 – $1,210.16	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$155.48 – $1,512.70	5
SSM Health Waupun Memorial Hospital	Waupun	not published	$207.31 – $362.79	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$155.48 – $400.11	7