Proph rta dtchmnt pc cost in Wisconsin

Proph rta dtchmnt pc · CPT 67145

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$532.70 – $1,920.80	4
SSM Health Ripon Community Hospital	Ripon	not published	$2,654.00 – $3,030.00	3
SSM Health Monroe Hospital	Monroe	not published	$534.23 – $4,217.00	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$532.70 – $1,920.80	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$229.52 – $1,922.96	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$198.20 – $907.22	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$348.94 – $2,102.44	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$400.67 – $4,198.00	4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$348.94 – $2,102.44	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$532.70 – $1,920.80	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$415.49 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$400.67 – $4,401.00	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$229.52 – $1,922.96	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$229.52 – $1,922.96	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$2,654.00 – $3,030.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$408.01 – $3,030.00	6