Oncology tissue of origin cost in Wisconsin

ONCOLOGY TISSUE OF ORIGIN · CPT 81504

Hospital City Cash price Negotiated range Payers
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $504.40 – $536.97 2
UnityPoint Health - Meriter Hospital Madison not published $312.00 – $728.05 9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $520.00 – $6,990.00 16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $520.00 – $6,990.00 16