Rcm img acquisj only ea addl cost in Wisconsin

RCM IMG ACQUISJ ONLY EA ADDL · CPT 96935

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $113.53 – $113.53 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $113.53 – $113.53 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $82.77 – $200.27 6
UnityPoint Health - Meriter Hospital Madison not published $68.81 – $302.79 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $110.19 – $219.23 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $110.19 – $219.23 6
Midwest Orthopedic Specialty Hospital Franklin not published $113.53 – $113.53 1
Ascension Calumet Hospital, Inc. Chilton not published $82.77 – $200.27 6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $82.77 – $200.27 6