Revise ovarian tube(s) cost in Wisconsin
REVISE OVARIAN TUBE(S) · CPT 58752
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $3,319.07 – $3,319.07 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $4,428.00 – $8,770.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $8,960.00 – $10,137.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $3,319.07 – $3,319.07 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $939.04 – $3,275.74 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $5,978.00 – $20,066.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $813.28 – $2,716.36 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $9,052.00 – $13,962.00 | 2 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,441.50 – $3,581.47 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,441.50 – $3,581.47 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $3,319.07 – $3,319.07 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $7,919.00 – $9,811.00 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $7,789.00 – $11,044.00 | 2 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $939.04 – $3,275.74 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $939.04 – $3,275.74 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $4,428.00 – $8,770.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $4,428.00 – $8,770.00 | 3 |