Ot re-evaluation patient/family cost in Wisconsin

HC Ot Re-Evaluation Patient/Family · CPT 97168

$85.25

lowest in Wisconsin

$104.50

state median

$478.39

highest in Wisconsin

$174.00

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $85.25 $50.05 – $128.79 4
SSM Health Waupun Memorial Hospital Waupun $85.25 not published 0
SSM Health Ripon Community Hospital Ripon $85.25 not published 0
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $93.48 $67.28 – $141.29 11
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $93.48 $67.28 – $141.29 11
SSM Health St. Mary's Hospital - Janesville Janesville $97.90 not published 0
SSM Health St. Clare Hospital - Baraboo Baraboo $104.50 $50.05 – $66.73 2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $111.83 $67.28 – $166.09 9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $111.83 $67.28 – $166.09 9
Ascension Calumet Hospital, Inc. Chilton $114.00 $75.76 – $76.46 6
SSM Health St. Mary's Hospital - Madison Madison $126.50 $50.05 – $66.73 2
SSM Health Monroe Hospital Monroe $137.50 $66.73 – $66.73 1
UnityPoint Health - Meriter Hospital Madison $478.39 $61.66 – $215.27 14
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $67.28 – $171.12 4
Ascension St. Francis Hospital, Inc. Milwaukee not published $67.28 – $171.12 4
Midwest Orthopedic Specialty Hospital Franklin not published $67.28 – $171.12 4