Revision of iris cost in Wisconsin

Revision of iris · CPT 66762

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$532.70 – $1,729.90	4
SSM Health Ripon Community Hospital	Ripon	not published	$2,654.00 – $3,030.00	3
SSM Health Monroe Hospital	Monroe	not published	$534.23 – $4,217.00	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$532.70 – $1,729.90	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$449.68 – $1,738.35	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$390.36 – $1,303.80	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$534.05 – $1,900.60	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$400.67 – $4,198.00	4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$534.05 – $1,900.60	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$532.70 – $1,729.90	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$415.49 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$400.67 – $4,401.00	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$449.68 – $1,738.35	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$449.68 – $1,738.35	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$2,654.00 – $3,030.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$408.01 – $3,030.00	6