Ophth Ultrasound b & quant a cost in Wisconsin

Ophth us b & quant a · CPT 76510

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$125.16 – $519.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$272.79 – $272.79	1
SSM Health Monroe Hospital	Monroe	not published	$129.23 – $217.53	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$125.16 – $519.00	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$41.92 – $260.23	12
UnityPoint Health - Meriter Hospital	Madison	not published	$27.04 – $147.73	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$49.44 – $276.06	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$96.93 – $667.00	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$49.44 – $276.06	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$125.16 – $519.00	6
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$100.51 – $635.76	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$96.93 – $885.88	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$41.92 – $200.45	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$41.92 – $260.23	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$272.79 – $272.79	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$98.70 – $253.99	4