Nuclear rx intracav admin cost in Wisconsin

Nuclear rx intracav admin · CPT 79200

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$193.82 – $561.65	5
SSM Health Ripon Community Hospital	Ripon	not published	$195.07 – $195.07	1
SSM Health Monroe Hospital	Monroe	not published	$138.17 – $226.65	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$193.82 – $561.65	5
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$85.50 – $452.49	12
UnityPoint Health - Meriter Hospital	Madison	not published	$48.30 – $216.49	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$85.75 – $561.65	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$169.99 – $477.00	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$85.75 – $561.65	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$193.82 – $561.65	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$176.27 – $454.64	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$169.99 – $633.53	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$85.50 – $132.22	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$85.50 – $452.49	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$195.07 – $195.07	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$173.10 – $445.43	4