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Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref cost in Wisconsin

HC Pretreatment Serum by Diff Red Cell Adsorption Patient RBC/Known Phenotype Each Adsorption Ref · CPT 86977

$73.15

lowest in Wisconsin

$119.35

state median

$453.64

highest in Wisconsin

$141.00

national median

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Clare Hospital - Baraboo	Baraboo	$73.15	$124.11 – $237.17	3
SSM Health St. Mary's Hospital - Madison	Madison	$79.75	$124.11 – $194.05	3
SSM Health St. Mary's Hospital - Janesville	Janesville	$84.70	$128.70 – $189.75	3
Midwest Orthopedic Specialty Hospital	Franklin	$90.63	$48.78 – $232.95	11
Ascension St. Francis Hospital, Inc.	Milwaukee	$90.63	$48.78 – $232.95	11
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$90.63	$48.78 – $232.95	11
SSM Health Monroe Hospital	Monroe	$119.35	$39.57 – $165.49	2
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$226.05	$48.28 – $325.23	5
SSM Health Waupun Memorial Hospital	Waupun	$226.05	$48.28 – $143.50	2
SSM Health Ripon Community Hospital	Ripon	$226.05	$48.28 – $143.50	2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$403.86	$46.69 – $367.00	12
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$403.86	$46.69 – $367.00	12
UnityPoint Health - Meriter Hospital	Madison	$453.64	$20.75 – $204.13	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$47.73 – $345.95	8
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$33.55 – $61.89	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$47.73 – $66.34	3
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$47.73 – $345.95	8