Special pump services cost in Wisconsin

SPECIAL PUMP SERVICES · CPT 99191

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$1,024.11 – $1,024.11	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$1,024.11 – $1,024.11	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$980.47 – $980.47	2
UnityPoint Health - Meriter Hospital	Madison	not published	$550.60 – $665.68	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$495.67 – $1,073.30	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$495.67 – $1,073.30	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$1,024.11 – $1,024.11	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$980.47 – $980.47	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$980.47 – $980.47	2