Srs cran les complex addl cost in Wisconsin
SRS CRAN LES COMPLEX ADDL · CPT 61799
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $1,077.22 – $1,077.22 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,579.00 – $10,779.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $4,137.00 – $13,723.00 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $1,077.22 – $1,077.22 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $286.43 – $1,011.49 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,183.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $249.32 – $832.73 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $3,863.00 – $14,021.00 | 2 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,045.46 – $1,105.89 | 5 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,045.46 – $1,105.89 | 5 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $1,077.22 – $1,077.22 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $3,232.00 – $13,711.00 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $3,179.00 – $14,312.00 | 2 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $286.43 – $1,011.49 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $286.43 – $1,011.49 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,579.00 – $10,779.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $3,579.00 – $10,779.00 | 3 |