Ocular function screen cost in Wisconsin

OCULAR FUNCTION SCREEN · CPT 99172

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $10.64 – $10.64 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $10.64 – $10.64 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $56.18 – $56.18 2
UnityPoint Health - Meriter Hospital Madison not published $31.32 – $38.14 2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $5.64 – $61.49 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $5.64 – $61.49 6
Midwest Orthopedic Specialty Hospital Franklin not published $10.64 – $10.64 1
Ascension Calumet Hospital, Inc. Chilton not published $56.18 – $56.18 2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $56.18 – $56.18 2