Revise gastric port open 43886 cost in Wisconsin
Revise gastric port open 43886 · CPT 43886
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $1,305.91 – $1,305.91 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,735.00 – $8,770.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $3,442.14 – $10,137.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $1,305.91 – $1,305.91 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $378.80 – $1,294.99 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $331.01 – $1,105.57 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $576.88 – $1,415.85 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,581.60 – $9,052.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $576.88 – $1,415.85 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $1,305.91 – $1,305.91 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,677.07 – $10,498.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,581.60 – $11,257.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $378.80 – $1,294.99 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $378.80 – $1,294.99 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,735.00 – $8,770.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $2,628.85 – $8,770.00 | 6 |