Removal of fascia for graft cost in Wisconsin

Removal of fascia for graft · CPT 20922

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $2,244.86 – $2,244.86 1
SSM Health Ripon Community Hospital Ripon not published $3,388.00 – $7,791.00 3
SSM Health Monroe Hospital Monroe not published $2,004.13 – $8,701.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $2,244.86 – $2,244.86 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $513.58 – $2,121.83 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,549.00 – $16,897.00 6
UnityPoint Health - Meriter Hospital Madison not published $448.99 – $1,499.63 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $774.79 – $2,319.86 6
SSM Health St. Mary's Hospital - Madison Madison not published $1,503.10 – $8,124.00 4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $774.79 – $2,319.86 6
Midwest Orthopedic Specialty Hospital Franklin not published $2,244.86 – $2,244.86 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $1,558.69 – $6,798.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,503.10 – $6,687.00 4
Ascension Calumet Hospital, Inc. Chilton not published $513.58 – $2,121.83 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $513.58 – $2,121.83 7
SSM Health Waupun Memorial Hospital Waupun not published $3,388.00 – $7,791.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,530.61 – $7,791.00 6