Trnsplj pd lvr&bwl cd154+cll cost in Wisconsin

TRNSPLJ PD LVR&BWL CD154+CLL · CPT 81560

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$640.73 – $2,115.71	6
SSM Health Ripon Community Hospital	Ripon	not published	$640.73 – $1,121.28	4
SSM Health Monroe Hospital	Monroe	not published	$640.73 – $1,121.28	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$640.73 – $2,115.71	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$640.73 – $2,473.22	12
UnityPoint Health - Meriter Hospital	Madison	not published	$384.44 – $666.36	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$480.55 – $3,827.23	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$640.73 – $2,146.45	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$640.73 – $2,146.45	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$640.73 – $2,115.71	6
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$480.55 – $3,743.28	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$480.55 – $4,673.84	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$672.77 – $2,473.22	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$640.73 – $2,473.22	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$640.73 – $1,121.28	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$480.55 – $1,236.61	7