Remove vertebral body add-on cost in Wisconsin

REMOVE VERTEBRAL BODY ADD-ON · CPT 63091

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$627.20 – $627.20	1
SSM Health Ripon Community Hospital	Ripon	not published	$3,388.00 – $3,388.00	1
SSM Health Monroe Hospital	Monroe	not published	$4,743.00 – $4,743.00	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$627.20 – $627.20	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$172.79 – $623.40	7
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$1,549.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$150.43 – $502.44	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$4,982.00 – $4,982.00	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$265.64 – $681.58	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$265.64 – $681.58	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$627.20 – $627.20	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$4,321.00 – $4,321.00	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$4,867.00 – $4,867.00	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$172.79 – $623.40	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$172.79 – $623.40	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,388.00 – $3,388.00	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$3,388.00 – $3,388.00	1