Release encircling material cost in Wisconsin
Release encircling material · CPT 67115
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $1,823.07 – $1,823.07 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $4,428.00 – $7,791.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $4,014.93 – $8,960.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $1,823.07 – $1,823.07 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $528.66 – $1,814.06 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $457.65 – $1,528.55 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $803.61 – $1,983.38 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $3,011.20 – $13,962.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $803.61 – $1,983.38 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $1,823.07 – $1,823.07 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $3,122.55 – $9,811.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $3,011.20 – $11,044.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $528.66 – $1,814.06 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $528.66 – $1,814.06 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $4,428.00 – $7,791.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $3,066.31 – $7,890.63 | 6 |