Proton trmt simple without comp cost in Wisconsin

Proton trmt simple w/o comp · CPT 77520

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$561.71 – $2,940.06	4
SSM Health Ripon Community Hospital	Ripon	not published	$3,138.81 – $3,138.81	1
SSM Health Monroe Hospital	Monroe	not published	$536.70 – $2,416.11	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$561.71 – $2,940.06	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$556.12 – $1,697.46	7
UnityPoint Health - Meriter Hospital	Madison	not published	$174.58 – $2,348.18	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$563.13 – $2,854.84	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$402.53 – $7,376.73	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$563.13 – $2,854.84	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$561.71 – $2,940.06	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$417.41 – $7,030.68	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$402.53 – $9,797.44	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$1,697.46 – $1,697.46	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$556.12 – $1,697.46	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,138.81 – $3,138.81	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$409.89 – $1,054.79	4