Pyelotomy complicated cost in Wisconsin

PYELOTOMY COMPLICATED · CPT 50135

Hospital	City	Cash price	Negotiated range	Payers
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$1,163.84 – $4,102.69	7
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$2,302.00 – $20,066.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$2,113.84 – $14,203.00	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$13,962.00 – $13,962.00	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$1,774.46 – $4,485.61	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$1,774.46 – $4,485.61	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$9,811.00 – $9,811.00	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$11,044.00 – $11,044.00	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$1,163.84 – $4,102.69	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$1,163.84 – $4,102.69	7