healthcosts.net

Peritoneogram rs&i cost in Wisconsin

PERITONEOGRAM RS&I · CPT 74190

$292.56

lowest in Wisconsin

$702.35

state median

$1,127.00

highest in Wisconsin

$648.84

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension St. Francis Hospital, Inc.	Milwaukee	$292.56	$80.32 – $1,086.50	6
Midwest Orthopedic Specialty Hospital	Franklin	$292.56	$80.32 – $1,086.50	6
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$292.56	$80.32 – $1,086.50	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$664.09	$36.04 – $1,174.27	10
SSM Health Monroe Hospital	Monroe	$689.15	$89.70 – $530.75	2
SSM Health St. Mary's Hospital - Janesville	Janesville	$702.35	$261.03 – $550.38	3
SSM Health St. Mary's Hospital - Madison	Madison	$735.35	$273.87 – $530.75	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$932.25	$116.54 – $1,043.10	4
SSM Health Waupun Memorial Hospital	Waupun	$932.25	$116.54 – $116.54	1
SSM Health Ripon Community Hospital	Ripon	$932.25	$116.54 – $116.54	1
UnityPoint Health - Meriter Hospital	Madison	$1,127.00	$20.18 – $467.71	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$23.26 – $1,106.93	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$36.04 – $1,174.27	10
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$363.75 – $530.75	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$23.26 – $56.57	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$23.26 – $1,106.93	12