Ped critical care subsq cost in Wisconsin

PED CRITICAL CARE SUBSQ · CPT 99472

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$1,095.75 – $1,095.75	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$1,095.75 – $1,095.75	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$417.10 – $885.69	7
UnityPoint Health - Meriter Hospital	Madison	not published	$362.05 – $948.57	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$635.32 – $1,063.76	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$635.32 – $1,063.76	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$1,095.75 – $1,095.75	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$417.10 – $885.69	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$417.10 – $885.69	7