Suprv interfac trnsport addl cost in Wisconsin
SUPRV INTERFAC TRNSPORT ADDL · CPT 99486
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $178.95 – $178.95 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $178.95 – $178.95 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $147.62 – $147.62 | 2 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $118.07 – $150.63 | 2 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $103.70 – $173.72 | 6 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $103.70 – $173.72 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $178.95 – $178.95 | 1 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $147.62 – $147.62 | 2 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $147.62 – $147.62 | 2 |