Tot estradiol response panel cost in Wisconsin

TOT ESTRADIOL RESPONSE PANEL · CPT 80415

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$55.89 – $204.21	17
SSM Health Ripon Community Hospital	Ripon	not published	$55.89 – $113.11	4
SSM Health Monroe Hospital	Monroe	not published	$55.89 – $97.81	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$55.89 – $204.21	17
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$55.89 – $215.74	16
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$54.21 – $100.12	5
UnityPoint Health - Meriter Hospital	Madison	not published	$33.53 – $86.93	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$41.92 – $454.51	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$55.89 – $215.91	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$55.89 – $215.91	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$55.89 – $204.21	17
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$41.92 – $444.41	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$41.92 – $555.53	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$58.68 – $215.74	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$55.89 – $215.74	16
SSM Health Waupun Memorial Hospital	Waupun	not published	$55.89 – $113.11	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$41.92 – $107.87	7