Revj open gstr rstcv px cost in Wisconsin

REVJ OPEN GSTR RSTCV PX · CPT 43848

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $6,930.82 – $6,930.82 1
SSM Health Ripon Community Hospital Ripon not published $3,735.00 – $3,735.00 1
SSM Health Monroe Hospital Monroe not published $8,433.00 – $8,433.00 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $6,930.82 – $6,930.82 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $1,929.50 – $6,820.24 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,302.00 – $20,066.00 6
UnityPoint Health - Meriter Hospital Madison not published $1,686.74 – $5,633.71 10
SSM Health St. Mary's Hospital - Madison Madison not published $6,044.00 – $6,044.00 1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $2,957.20 – $7,456.79 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $2,957.20 – $7,456.79 6
Midwest Orthopedic Specialty Hospital Franklin not published $6,930.82 – $6,930.82 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $10,498.00 – $10,498.00 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $11,257.00 – $11,257.00 1
Ascension Calumet Hospital, Inc. Chilton not published $1,929.50 – $6,820.24 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $1,929.50 – $6,820.24 7
SSM Health Waupun Memorial Hospital Waupun not published $3,735.00 – $3,735.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $3,735.00 – $3,735.00 1