Sclerotherapy fluid collection pq w/img cost in Wisconsin
HC SCLEROTHERAPY FLUID COLLECTION PQ W/IMG · CPT 49185
$749.10
lowest in Wisconsin
$2,989.20
state median
$4,566.57
highest in Wisconsin
$2,114.45
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $749.10 | $1,225.21 – $3,152.87 | 6 |
| SSM Health Waupun Memorial Hospital | Waupun | $749.10 | $2,654.00 – $3,030.00 | 3 |
| SSM Health Ripon Community Hospital | Ripon | $749.10 | $2,654.00 – $3,030.00 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,316.05 | $1,247.68 – $4,074.00 | 4 |
| SSM Health Monroe Hospital | Monroe | $2,321.00 | $1,604.25 – $4,217.00 | 3 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $2,373.36 | $318.99 – $3,628.70 | 14 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $2,373.36 | $318.99 – $3,634.16 | 14 |
| HSHS St. Vincent Hospital | Green Bay | $2,373.36 | $330.73 – $3,609.56 | 14 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $2,393.43 | $121.99 – $565.20 | 6 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $2,393.43 | $121.99 – $565.20 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,564.65 | $1,203.19 – $4,198.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $2,989.20 | $188.05 – $4,690.20 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $2,989.20 | $188.05 – $4,690.20 | 6 |
| Aurora Baycare Medical Center | Green Bay | $3,125.00 | not published | 0 |
| Aurora Medical Center Bay Area | Marinette | $3,125.00 | not published | 0 |
| Aurora Medical Center Burlington | Burlington | $3,125.00 | not published | 0 |
| Aurora Medical Center Grafton | Grafton | $3,125.00 | not published | 0 |
| Aurora Medical Center Kenosha | Kenosha | $3,125.00 | not published | 0 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $3,125.00 | not published | 0 |
| Aurora Medical Center Sheboygan County | Sheboygan | $3,125.00 | not published | 0 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $3,125.00 | not published | 0 |
| Aurora Medical Center Summit | Summit | $3,125.00 | not published | 0 |
| Aurora Medical Center Washington County | Hartford | $3,125.00 | not published | 0 |
| Aurora West Allis Medical Center | West Allis | $3,125.00 | not published | 0 |
| UnityPoint Health - Meriter Hospital | Madison | $4,566.57 | $107.18 – $1,895.13 | 14 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $3,604.49 – $3,604.49 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $3,604.49 – $3,604.49 | 1 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $743.00 – $16,897.00 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $3,604.49 – $3,604.49 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,203.19 – $4,401.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $121.99 – $4,289.81 | 6 |