Oph Ultrasound dx ant sgm Ultrasound uni/bi cost in Wisconsin

OPH US DX ANT SGM US UNI/BI · CPT 76513

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$103.26 – $519.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$197.94 – $197.94	1
SSM Health Monroe Hospital	Monroe	not published	$101.55 – $160.44	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$103.26 – $519.00	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$34.62 – $214.68	12
UnityPoint Health - Meriter Hospital	Madison	not published	$30.35 – $100.46	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$53.35 – $245.18	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$76.16 – $483.97	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$53.35 – $245.18	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$103.26 – $519.00	6
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$78.98 – $461.30	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$76.16 – $642.79	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$34.62 – $89.08	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$34.62 – $214.68	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$197.94 – $197.94	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$77.56 – $199.58	4