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Plc pq device breast ea addl lesion MRI guide cost in Wisconsin

HC PLC PQ DEVICE BREAST EA ADDL LESION MRI GUIDE · CPT 19288

$250.80

lowest in Wisconsin

$287.10

state median

$451.55

highest in Wisconsin

$1,505.60

national median

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Mary's Hospital - Madison	Madison	$250.80	$2,036.00 – $2,036.00	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$287.10	$1,887.00 – $5,512.00	3
SSM Health Waupun Memorial Hospital	Waupun	$287.10	$1,887.00 – $5,512.00	3
SSM Health Ripon Community Hospital	Ripon	$287.10	$1,887.00 – $5,512.00	3
SSM Health Monroe Hospital	Monroe	$451.55	$2,181.00 – $9,837.00	2
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$461.14 – $2,511.07	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$461.14 – $2,511.07	2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$65.13 – $2,257.35	6
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$949.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$57.24 – $191.18	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$101.46 – $2,468.04	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$101.46 – $2,468.04	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$461.14 – $2,511.07	2
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,704.00 – $1,704.00	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,676.00 – $1,676.00	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$65.13 – $2,257.35	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$65.13 – $2,257.35	6