Rcm img acquisj&i&r ea addl cost in Wisconsin

RCM IMG ACQUISJ&I&R EA ADDL · CPT 96934

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $268.36 – $268.36 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $268.36 – $268.36 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $126.46 – $346.25 6
UnityPoint Health - Meriter Hospital Madison not published $109.72 – $470.70 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $195.55 – $379.03 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $195.55 – $379.03 6
Midwest Orthopedic Specialty Hospital Franklin not published $268.36 – $268.36 1
Ascension Calumet Hospital, Inc. Chilton not published $126.46 – $346.25 6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $126.46 – $346.25 6