Opn impltj nea perph nerve cost in Wisconsin

OPN IMPLTJ NEA PERPH NERVE · CPT 64575

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $1,165.96 – $1,165.96 1
SSM Health Ripon Community Hospital Ripon not published $8,923.00 – $27,583.00 3
SSM Health Monroe Hospital Monroe not published $10,823.26 – $25,004.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $1,165.96 – $1,165.96 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $327.58 – $1,198.35 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,302.00 – $16,897.00 6
UnityPoint Health - Meriter Hospital Madison not published $285.56 – $953.77 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $486.93 – $1,310.20 6
SSM Health St. Mary's Hospital - Madison Madison not published $8,117.45 – $27,690.00 4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $486.93 – $1,310.20 6
Midwest Orthopedic Specialty Hospital Franklin not published $1,165.96 – $1,165.96 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $8,417.64 – $24,224.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $8,117.45 – $23,826.00 4
Ascension Calumet Hospital, Inc. Chilton not published $327.58 – $1,198.35 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $327.58 – $1,198.35 7
SSM Health Waupun Memorial Hospital Waupun not published $8,923.00 – $27,583.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $8,266.01 – $27,583.00 6