Srs cran les simple addl cost in Wisconsin

SRS CRAN LES SIMPLE ADDL · CPT 61797

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$783.30 – $783.30	1
SSM Health Ripon Community Hospital	Ripon	not published	$3,388.00 – $4,761.00	3
SSM Health Monroe Hospital	Monroe	not published	$4,137.00 – $4,743.00	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$783.30 – $783.30	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$207.22 – $731.81	7
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$1,549.00 – $16,897.00	6
UnityPoint Health - Meriter Hospital	Madison	not published	$180.50 – $602.87	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$3,863.00 – $4,982.00	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$760.20 – $800.12	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$760.20 – $800.12	5
Midwest Orthopedic Specialty Hospital	Franklin	not published	$783.30 – $783.30	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$3,232.00 – $4,321.00	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$3,179.00 – $4,867.00	2
Ascension Calumet Hospital, Inc.	Chilton	not published	$207.22 – $731.81	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$207.22 – $731.81	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$3,388.00 – $4,761.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$3,388.00 – $4,761.00	3