Revise eye muscle(s) add-on cost in Wisconsin
REVISE EYE MUSCLE(S) ADD-ON · CPT 67320
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $1,183.27 – $1,183.27 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $1,887.00 – $5,512.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $2,181.00 – $9,837.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $1,183.27 – $1,183.27 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $182.95 – $1,171.24 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $949.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $158.94 – $593.36 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,036.00 – $2,036.00 | 1 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $327.49 – $1,280.55 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $327.49 – $1,280.55 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $1,183.27 – $1,183.27 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,704.00 – $1,704.00 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,676.00 – $1,676.00 | 1 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $182.95 – $1,171.24 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $182.95 – $1,171.24 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1,887.00 – $5,512.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,887.00 – $5,512.00 | 3 |