Thrombectomy/inf pq dialysis circuit cost in Wisconsin
HC THROMBECTOMY/INF PQ DIALYSIS CIRCUIT · CPT 36904
$3,251.60
lowest in Wisconsin
$4,672.25
state median
$18,413.13
highest in Wisconsin
$8,084.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Mary's Hospital - Janesville | Janesville | $3,251.60 | $4,299.64 – $16,582.00 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,441.35 | $4,146.30 – $18,955.00 | 4 |
| Aurora Baycare Medical Center | Green Bay | $3,610.00 | not published | 0 |
| Aurora Medical Center Burlington | Burlington | $3,610.00 | not published | 0 |
| Aurora Medical Center Grafton | Grafton | $3,610.00 | not published | 0 |
| Aurora Medical Center Kenosha | Kenosha | $3,610.00 | not published | 0 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $3,610.00 | not published | 0 |
| Aurora Medical Center Sheboygan County | Sheboygan | $3,610.00 | not published | 0 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $3,610.00 | not published | 0 |
| Aurora Medical Center Summit | Summit | $3,610.00 | not published | 0 |
| Aurora Medical Center Washington County | Hartford | $3,610.00 | not published | 0 |
| Aurora West Allis Medical Center | West Allis | $3,610.00 | not published | 0 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $4,672.25 | $4,222.18 – $18,364.00 | 6 |
| SSM Health Waupun Memorial Hospital | Waupun | $4,672.25 | $17,314.00 – $18,364.00 | 2 |
| SSM Health Ripon Community Hospital | Ripon | $4,672.25 | $17,314.00 – $18,364.00 | 2 |
| SSM Health Monroe Hospital | Monroe | $7,531.70 | $5,528.40 – $17,116.00 | 2 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $9,136.14 | $569.26 – $7,650.93 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $9,136.14 | $569.26 – $7,650.93 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | $9,838.92 | $6,385.69 – $6,385.69 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $9,838.92 | $6,385.69 – $6,385.69 | 1 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $9,838.92 | $6,385.69 – $6,385.69 | 1 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $10,075.56 | $1,628.87 – $12,504.84 | 14 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $10,075.56 | $1,628.87 – $12,523.68 | 14 |
| HSHS St. Vincent Hospital | Green Bay | $10,075.56 | $1,688.84 – $12,438.90 | 14 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $10,733.67 | $368.36 – $6,997.80 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | $18,413.13 | $321.24 – $7,181.12 | 14 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $4,146.30 – $17,411.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $368.36 – $6,997.80 | 6 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $368.36 – $6,997.80 | 6 |