Sperm isolation complex cost in Wisconsin

Sperm isolation complex · CPT 89261

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $51.88 – $72.63 6
SSM Health Ripon Community Hospital Ripon not published $49.47 – $49.47 1
SSM Health Monroe Hospital Monroe not published $50.62 – $50.62 1
Ascension St. Francis Hospital, Inc. Milwaukee not published $51.88 – $72.63 6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $49.79 – $107.88 8
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $45.55 – $46.45 2
UnityPoint Health - Meriter Hospital Madison not published $51.61 – $166.41 9
SSM Health St. Mary's Hospital - Madison Madison not published $37.96 – $50.62 2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $52.01 – $114.42 9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $52.01 – $114.42 9
Midwest Orthopedic Specialty Hospital Franklin not published $51.88 – $72.63 6
Aurora West Allis Medical Center West Allis not published $100.68 – $100.68 1
Aurora Medical Center Washington County Hartford not published $100.68 – $100.68 1
Aurora Medical Center Summit Summit not published $100.68 – $100.68 1
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $100.68 – $100.68 1
Aurora Psychiatric Hospital Wauwatosa not published $100.68 – $100.68 1
Aurora Medical Center Sheboygan County Sheboygan not published $100.68 – $100.68 1
Aurora Medical Center Fond du Lac Fond Du Lac not published $100.68 – $100.68 1
Aurora Medical Center Kenosha Kenosha not published $100.68 – $100.68 1
Aurora Medical Center Manitowoc Two Rivers not published $100.68 – $100.68 1
Aurora Medical Center Grafton Grafton not published $100.68 – $100.68 1
Aurora Medical Center Burlington Burlington not published $100.68 – $100.68 1
Aurora Medical Center Bay Area Marinette not published $100.68 – $100.68 1
Aurora Baycare Medical Center Green Bay not published $100.68 – $100.68 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $39.37 – $52.49 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $37.96 – $50.62 2
Ascension Calumet Hospital, Inc. Chilton not published $49.79 – $63.73 3
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $49.79 – $107.88 8
SSM Health Waupun Memorial Hospital Waupun not published $49.47 – $49.47 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $38.66 – $99.48 5