Tc-99m tetrofosmin p study dose cost in Wisconsin
TC-99M TETROFOSMIN P STUDY DOSE · HCPCS A9502
$177.65
lowest in Wisconsin
$357.50
state median
$438.31
highest in Wisconsin
$190.80
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $177.65 | $429.74 – $429.74 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | $177.65 | $429.74 – $429.74 | 1 |
| SSM Health Ripon Community Hospital | Ripon | $177.65 | $429.74 – $429.74 | 1 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $199.50 | $225.34 – $225.34 | 2 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $258.11 | $126.37 – $265.29 | 7 |
| SSM Health St. Mary's Hospital - Madison | Madison | $273.90 | not published | 0 |
| Aurora Baycare Medical Center | Green Bay | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Medical Center Bay Area | Marinette | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Medical Center Burlington | Burlington | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Medical Center Grafton | Grafton | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Medical Center Sheboygan County | Sheboygan | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Medical Center Summit | Summit | $357.50 | $81.86 – $130.47 | 3 |
| Aurora Medical Center Washington County | Hartford | $357.50 | $81.86 – $130.47 | 3 |
| Midwest Orthopedic Specialty Hospital | Franklin | $438.31 | $203.64 – $265.29 | 2 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $438.31 | $203.64 – $265.29 | 2 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $438.31 | $203.64 – $265.29 | 2 |
| SSM Health Monroe Hospital | Monroe | not published | $429.74 – $429.74 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $97.21 – $155.03 | 2 |
| Aurora West Allis Medical Center | West Allis | not published | $81.86 – $130.47 | 3 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $81.86 – $130.47 | 3 |
| Aurora Medical Center Kenosha | Kenosha | not published | $81.86 – $130.47 | 3 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $81.86 – $130.47 | 3 |