Refill/maint pump/resvr syst cost in Wisconsin

Refill/maint pump/resvr syst · CPT 96522

$302.10

lowest in Wisconsin

$308.55

state median

$321.18

highest in Wisconsin

$369.63

national median

Hospital City Cash price Negotiated range Payers
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $302.10 $124.65 – $425.36 12
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $308.55 $157.79 – $406.05 4
SSM Health Waupun Memorial Hospital Waupun $308.55 not published 0
SSM Health Ripon Community Hospital Ripon $308.55 not published 0
Ascension St. Francis Hospital, Inc. Milwaukee $321.18 $204.58 – $367.30 4
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $321.18 $204.58 – $367.30 4
SSM Health Monroe Hospital Monroe not published $206.61 – $206.61 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $124.65 – $425.36 12
UnityPoint Health - Meriter Hospital Madison not published $102.78 – $440.93 10
SSM Health St. Mary's Hospital - Madison Madison not published $154.95 – $206.61 2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $188.50 – $451.22 9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $188.50 – $451.22 9
Midwest Orthopedic Specialty Hospital Franklin not published $204.58 – $367.30 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $160.68 – $214.25 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $154.95 – $206.61 2
Ascension Calumet Hospital, Inc. Chilton not published $124.65 – $407.79 7