Nuclear matrix protein 22 cost in Wisconsin

Nuclear matrix protein 22 · CPT 86386

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$21.78 – $72.00	17
SSM Health Ripon Community Hospital	Ripon	not published	$21.78 – $38.12	4
SSM Health Monroe Hospital	Monroe	not published	$21.78 – $38.12	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$21.78 – $72.00	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$21.78 – $84.07	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$21.13 – $28.78	5
UnityPoint Health - Meriter Hospital	Madison	not published	$13.07 – $30.48	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$21.78 – $69.91	16
SSM Health St. Mary's Hospital - Madison	Madison	not published	$16.34 – $129.92	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$21.78 – $69.91	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$21.78 – $72.00	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$16.34 – $127.03	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$16.34 – $158.79	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$22.85 – $84.07	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$21.78 – $84.07	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$21.78 – $38.12	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$16.34 – $42.04	7