Prep renal graft/arterial cost in Wisconsin

PREP RENAL GRAFT/ARTERIAL · CPT 50328

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$686.51 – $686.51	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	$686.51 – $686.51	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$186.65 – $667.35	7
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$2,302.00 – $20,066.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$162.76 – $543.62	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	$286.52 – $729.64	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$286.52 – $729.64	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$686.51 – $686.51	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	$186.65 – $667.35	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$186.65 – $667.35	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