Rmvl icd gen w/rplc icd gen mlt lead sys cost in Wisconsin
HC RMVL ICD GEN W/RPLC ICD GEN MLT LEAD SYS · CPT 33264
$15,016.32
lowest in Wisconsin
$23,558.70
state median
$82,202.91
highest in Wisconsin
$33,467.20
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $15,016.32 | $9,799.05 – $68,963.96 | 14 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $15,016.32 | $9,799.05 – $69,067.87 | 14 |
| HSHS St. Vincent Hospital | Green Bay | $15,016.32 | $10,159.82 – $68,600.30 | 14 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $21,447.80 | $8,923.00 – $59,920.75 | 6 |
| SSM Health Waupun Memorial Hospital | Waupun | $21,447.80 | $8,923.00 – $54,996.00 | 3 |
| SSM Health Ripon Community Hospital | Ripon | $21,447.80 | $8,923.00 – $54,996.00 | 3 |
| SSM Health St. Mary's Hospital - Madison | Madison | $21,668.35 | $14,021.00 – $50,591.00 | 4 |
| SSM Health Monroe Hospital | Monroe | $23,558.70 | $13,352.00 – $51,258.00 | 3 |
| Midwest Orthopedic Specialty Hospital | Franklin | $28,989.41 | $1,501.59 – $55,400.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $28,989.41 | $1,501.59 – $86,464.00 | 2 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $28,989.41 | $1,501.59 – $86,464.00 | 2 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $32,018.36 | $621.37 – $1,568.95 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $32,018.36 | $621.37 – $1,568.95 | 6 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $70,178.97 | $401.04 – $66,765.00 | 8 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $70,178.97 | $401.04 – $66,765.00 | 8 |
| UnityPoint Health - Meriter Hospital | Madison | $82,202.91 | $349.08 – $32,059.13 | 14 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $13,711.00 – $48,685.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $14,312.00 – $48,722.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $401.04 – $66,765.00 | 8 |