Replantation arm complete cost in Wisconsin
REPLANTATION ARM COMPLETE · CPT 20802
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $8,801.61 – $8,801.61 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $6,779.00 – $27,583.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $14,758.00 – $25,004.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $8,801.61 – $8,801.61 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $2,795.28 – $9,792.75 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,278.00 – $20,066.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $2,445.51 – $8,168.00 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $12,773.37 – $27,690.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $4,281.67 – $10,706.74 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $4,281.67 – $10,706.74 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $8,801.61 – $8,801.61 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $13,245.76 – $24,224.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $12,773.37 – $23,826.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $2,795.28 – $9,792.75 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $2,795.28 – $9,792.75 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $6,779.00 – $27,583.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $6,779.00 – $33,471.73 | 6 |