Rf abltj nrv nrvtg si jt cost in Wisconsin
Rf abltj nrv nrvtg si jt · CPT 64625
$452.62
lowest in Wisconsin
$1,712.70
state median
$3,818.43
highest in Wisconsin
$2,980.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $452.62 | $313.46 – $1,981.45 | 6 |
| Aurora Baycare Medical Center | Green Bay | $1,660.00 | not published | 0 |
| Aurora Medical Center Burlington | Burlington | $1,660.00 | not published | 0 |
| Aurora Medical Center Kenosha | Kenosha | $1,660.00 | not published | 0 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $1,660.00 | not published | 0 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $1,660.00 | not published | 0 |
| Aurora Medical Center Washington County | Hartford | $1,660.00 | not published | 0 |
| Aurora West Allis Medical Center | West Allis | $1,660.00 | not published | 0 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,712.70 | $1,448.59 – $7,791.00 | 6 |
| SSM Health Waupun Memorial Hospital | Waupun | $1,712.70 | $3,388.00 – $7,791.00 | 3 |
| SSM Health Ripon Community Hospital | Ripon | $1,712.70 | $3,388.00 – $7,791.00 | 3 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $3,262.38 | $595.28 – $4,290.30 | 14 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $3,262.38 | $595.28 – $4,296.76 | 14 |
| HSHS St. Vincent Hospital | Green Bay | $3,262.38 | $617.20 – $4,267.68 | 14 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $3,262.38 | $1,995.02 – $2,317.26 | 8 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $3,818.43 | $206.33 – $1,812.30 | 6 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $3,818.43 | $206.33 – $1,812.30 | 6 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $1,808.34 – $1,808.34 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $1,896.75 – $8,701.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $1,808.34 – $1,808.34 | 1 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $180.67 – $599.82 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $313.46 – $1,981.45 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $1,422.56 – $8,124.00 | 4 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $1,808.34 – $1,808.34 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,475.17 – $6,798.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,422.56 – $6,687.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $206.33 – $1,812.30 | 6 |