Rp therapy unlisted px cost in Wisconsin

RP THERAPY UNLISTED PX · CPT 79999

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$217.63 – $561.65	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$217.63 – $561.65	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$215.47 – $561.65	7
UnityPoint Health - Meriter Hospital	Madison	not published	$216.49 – $216.49	8
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$218.19 – $561.65	8
SSM Health St. Mary's Hospital - Madison	Madison	not published	$169.99 – $226.65	2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$218.19 – $561.65	8
Midwest Orthopedic Specialty Hospital	Franklin	not published	$217.63 – $561.65	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$561.65 – $561.65	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$215.47 – $561.65	7