Radiation tx management x5 cost in Wisconsin

RADIATION TX MANAGEMENT X5 · CPT 77427

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$625.76 – $625.76	1
SSM Health Ripon Community Hospital	Ripon	not published	$629.87 – $629.87	1
SSM Health Monroe Hospital	Monroe	not published	$501.38 – $501.38	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$625.76 – $625.76	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$202.70 – $463.41	7
UnityPoint Health - Meriter Hospital	Madison	not published	$179.07 – $592.72	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1,540.06 – $1,540.06	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$311.58 – $607.62	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$311.58 – $607.62	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$625.76 – $625.76	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,467.89 – $1,467.89	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$2,045.40 – $2,045.40	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$202.70 – $463.41	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$202.70 – $463.41	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$629.87 – $629.87	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$629.87 – $629.87	1