Rmv ntr oi imp sk tc>=100 cost in Wisconsin
RMV NTR OI IMP SK TC>=100 · CPT 69728
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $2,041.21 – $2,041.21 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,735.00 – $8,770.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $3,178.20 – $10,137.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $2,041.21 – $2,041.21 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $628.76 – $2,240.85 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $539.58 – $1,802.20 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,981.01 – $2,450.00 | 5 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,383.65 – $9,052.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,981.01 – $2,450.00 | 5 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $2,041.21 – $2,041.21 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,471.80 – $10,498.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,383.65 – $11,257.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $628.76 – $2,240.85 | 6 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $628.76 – $2,240.85 | 6 |
| 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 | $2,427.27 – $8,770.00 | 6 |