Optical endomicroscpy interp cost in Wisconsin

OPTICAL ENDOMICROSCPY INTERP · CPT 88375

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$18.58 – $167.91	8
SSM Health Ripon Community Hospital	Ripon	not published	$51.25 – $72.31	2
SSM Health Monroe Hospital	Monroe	not published	$55.17 – $55.17	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$18.58 – $167.91	8
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$17.34 – $67.87	7
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$15.87 – $47.70	4
UnityPoint Health - Meriter Hospital	Madison	not published	$43.48 – $126.09	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$290.57 – $290.57	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$18.58 – $163.04	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$18.58 – $163.04	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$18.58 – $167.91	8
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$284.13 – $284.13	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$355.15 – $355.15	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$17.34 – $67.87	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$17.34 – $67.87	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$51.25 – $72.31	2
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$51.25 – $72.31	2