Thorax stereo rad targetw/tx cost in Wisconsin

THORAX STEREO RAD TARGETW/TX · CPT 32701

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$787.44 – $787.44	1
SSM Health Ripon Community Hospital	Ripon	not published	$2,654.00 – $2,654.00	1
SSM Health Monroe Hospital	Monroe	not published	$4,217.00 – $4,217.00	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$787.44 – $787.44	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$208.05 – $758.51	7
UnityPoint Health - Meriter Hospital	Madison	not published	$180.80 – $603.87	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$4,198.00 – $4,198.00	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$320.94 – $829.31	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$320.94 – $829.31	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$787.44 – $787.44	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$4,074.00 – $4,074.00	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$4,401.00 – $4,401.00	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$208.05 – $758.51	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$208.05 – $758.51	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$2,654.00 – $2,654.00	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$2,654.00 – $2,654.00	1