Shunt desc aorta to pulm art cost in Wisconsin

SHUNT DESC AORTA TO PULM ART · CPT 33762

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $4,865.15 – $4,865.15 1
SSM Health Ripon Community Hospital Ripon not published $6,019.00 – $6,019.00 1
SSM Health Monroe Hospital Monroe not published $13,352.00 – $13,352.00 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $4,865.15 – $4,865.15 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $1,257.64 – $4,486.46 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,302.00 – $20,066.00 6
UnityPoint Health - Meriter Hospital Madison not published $1,096.08 – $3,660.91 10
SSM Health St. Mary's Hospital - Madison Madison not published $17,504.00 – $17,504.00 1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $1,930.11 – $4,905.20 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $1,930.11 – $4,905.20 6
Midwest Orthopedic Specialty Hospital Franklin not published $4,865.15 – $4,865.15 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $15,466.00 – $15,466.00 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $17,411.00 – $17,411.00 1
Ascension Calumet Hospital, Inc. Chilton not published $1,257.64 – $4,486.46 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $1,257.64 – $4,486.46 7
SSM Health Waupun Memorial Hospital Waupun not published $6,019.00 – $6,019.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $6,019.00 – $6,019.00 1