Remot img sub by pt, non e/m cost in Wisconsin
Remot img sub by pt, non e/m · HCPCS G2250
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Monroe Hospital | Monroe | not published | $7.71 – $7.71 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $8.41 – $14.88 | 9 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $5.78 – $7.71 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $5.78 – $7.71 | 2 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $5.78 – $14.88 | 4 |