Tprnl balo cntnc dev adjmt cost in Wisconsin

Tprnl balo cntnc dev adjmt · CPT 53454

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$72.14 – $330.62	4
SSM Health Ripon Community Hospital	Ripon	not published	$1,887.00 – $2,654.00	3
SSM Health Monroe Hospital	Monroe	not published	$242.69 – $4,217.00	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$72.14 – $330.62	4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$79.16 – $491.00	7
UnityPoint Health - Meriter Hospital	Madison	not published	$33.20 – $110.89	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$70.01 – $520.87	8
SSM Health St. Mary's Hospital - Madison	Madison	not published	$182.01 – $4,198.00	4
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$70.01 – $520.87	8
Midwest Orthopedic Specialty Hospital	Franklin	not published	$72.14 – $330.62	4
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$188.75 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$182.01 – $4,401.00	4
Ascension Calumet Hospital, Inc.	Chilton	not published	$79.16 – $79.16	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$79.16 – $491.00	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,887.00 – $2,654.00	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$185.35 – $2,334.00	6