Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm cost in Wisconsin
HC TRNSFR/REARRNGMNT ADJCNT TISS ANY AREA 30.1-60SQCM · CPT 14301
$1,028.28
lowest in Wisconsin
$2,415.09
state median
$2,850.40
highest in Wisconsin
$4,713.66
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Calumet Hospital, Inc. | Chilton | $1,028.28 | $901.87 – $2,359.99 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $2,415.09 | $901.87 – $3,892.95 | 7 |
| UnityPoint Health - Meriter Hospital | Madison | $2,850.40 | $242.88 – $2,633.49 | 13 |
| HSHS St. Vincent Hospital | Green Bay | not published | not published | 0 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | not published | not published | 0 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $3,907.44 – $3,907.44 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,735.00 – $8,770.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $3,442.14 – $10,137.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $3,907.44 – $3,907.44 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $901.87 – $3,892.95 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $4,754.00 – $16,897.00 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,378.97 – $4,256.29 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,581.60 – $9,052.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,378.97 – $4,256.29 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $3,907.44 – $3,907.44 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,677.07 – $10,498.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,581.60 – $11,257.00 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,735.00 – $8,770.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $2,628.85 – $8,770.00 | 6 |