Omental flap extra-abdom 49904 cost in Wisconsin
Omental flap extra-abdom 49904 · CPT 49904
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $5,216.82 – $5,216.82 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,735.00 – $3,735.00 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $8,433.00 – $8,433.00 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $5,216.82 – $5,216.82 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $1,407.65 – $4,976.63 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $20,066.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,220.08 – $4,075.07 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $2,157.52 – $5,441.11 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $6,044.00 – $6,044.00 | 1 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $2,157.52 – $5,441.11 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $5,216.82 – $5,216.82 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $10,498.00 – $10,498.00 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $11,257.00 – $11,257.00 | 1 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $1,407.65 – $4,976.63 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $1,407.65 – $4,976.63 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,735.00 – $3,735.00 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $3,735.00 – $3,735.00 | 1 |