Prep donor pancreas/venous cost in Wisconsin

PREP DONOR PANCREAS/VENOUS · CPT 48552

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$847.83 – $847.83	1
SSM Health Ripon Community Hospital	Ripon	not published	$3,735.00 – $3,735.00	1
SSM Health Monroe Hospital	Monroe	not published	$8,433.00 – $8,433.00	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$847.83 – $847.83	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$230.15 – $826.35	7
UnityPoint Health - Meriter Hospital	Madison	not published	$200.71 – $670.37	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$6,044.00 – $6,044.00	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$354.26 – $903.48	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$354.26 – $903.48	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$847.83 – $847.83	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$10,498.00 – $10,498.00	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$11,257.00 – $11,257.00	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$230.15 – $826.35	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$230.15 – $826.35	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,735.00 – $3,735.00	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$3,735.00 – $3,735.00	1