Prolng svc o/p ea addl 30 cost in Wisconsin

PROLNG SVC O/P EA ADDL 30 · CPT 99355

Hospital City Cash price Negotiated range Payers
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $178.77 – $190.12 3
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $137.63 – $137.63 1
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $137.63 – $137.63 1
Ascension Calumet Hospital, Inc. Chilton not published $178.77 – $190.12 3
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $178.77 – $190.12 3