Remove sperm duct pouch cost in Wisconsin
REMOVE SPERM DUCT POUCH · CPT 55650
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $2,636.14 – $2,636.14 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $2,959.00 – $3,388.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $3,420.00 – $4,743.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $2,636.14 – $2,636.14 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $750.84 – $2,626.28 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $20,066.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $655.67 – $2,189.94 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $3,193.00 – $4,982.00 | 2 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,142.08 – $2,871.39 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,142.08 – $2,871.39 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $2,636.14 – $2,636.14 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,672.00 – $4,321.00 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,628.00 – $4,867.00 | 2 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $750.84 – $2,626.28 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $750.84 – $2,626.28 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $2,959.00 – $3,388.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $2,959.00 – $3,388.00 | 3 |