Red cell sequestration cost in Wisconsin

Red cell sequestration · CPT 78140

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$104.64 – $848.52	5
SSM Health Ripon Community Hospital	Ripon	not published	$364.52 – $364.52	1
SSM Health Monroe Hospital	Monroe	not published	$291.93 – $388.31	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$104.64 – $848.52	5
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$26.43 – $811.23	12
UnityPoint Health - Meriter Hospital	Madison	not published	$22.93 – $388.14	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$40.80 – $860.57	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$40.80 – $860.57	10
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$302.00 – $849.48	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$291.23 – $1,183.71	3
Midwest Orthopedic Specialty Hospital	Franklin	not published	$104.64 – $848.52	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$26.43 – $69.69	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$26.43 – $811.23	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$364.52 – $364.52	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$296.56 – $763.16	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$291.23 – $891.25	3