Proton trmt intermediate cost in Wisconsin

Proton trmt intermediate · CPT 77523

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$3,404.22 – $3,404.22	1
SSM Health Ripon Community Hospital	Ripon	not published	$3,656.14 – $3,656.14	1
SSM Health Monroe Hospital	Monroe	not published	$1,213.91 – $2,814.30	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$3,404.22 – $3,404.22	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$2,068.77 – $2,068.77	2
UnityPoint Health - Meriter Hospital	Madison	not published	$196.00 – $2,861.79	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$1,469.80 – $3,305.55	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$910.44 – $8,592.51	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$1,469.80 – $3,305.55	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$3,404.22 – $3,404.22	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$944.11 – $8,189.41	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$910.44 – $11,412.20	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$2,068.77 – $2,068.77	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$2,068.77 – $2,068.77	2
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,656.14 – $3,656.14	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$927.10 – $2,385.73	4