Removal of pelvis contents cost in Wisconsin

REMOVAL OF PELVIS CONTENTS · CPT 58240

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $10,469.70 – $10,469.70 1
SSM Health Ripon Community Hospital Ripon not published $4,428.00 – $4,428.00 1
SSM Health Monroe Hospital Monroe not published $8,960.00 – $8,960.00 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $10,469.70 – $10,469.70 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $3,017.19 – $10,446.90 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,302.00 – $20,066.00 6
UnityPoint Health - Meriter Hospital Madison not published $2,633.38 – $8,795.49 10
SSM Health St. Mary's Hospital - Madison Madison not published $13,962.00 – $13,962.00 1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $4,634.35 – $11,421.94 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $4,634.35 – $11,421.94 6
Midwest Orthopedic Specialty Hospital Franklin not published $10,469.70 – $10,469.70 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $9,811.00 – $9,811.00 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $11,044.00 – $11,044.00 1
Ascension Calumet Hospital, Inc. Chilton not published $3,017.19 – $10,446.90 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $3,017.19 – $10,446.90 7
SSM Health Waupun Memorial Hospital Waupun not published $4,428.00 – $4,428.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $4,428.00 – $4,428.00 1