Tvh >250 gms 58290 cost in Wisconsin
TVH >250 gms 58290 · CPT 58290
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $4,157.83 – $4,157.83 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $7,609.00 – $16,106.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $7,202.85 – $16,164.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $4,157.83 – $4,157.83 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $1,188.13 – $4,167.45 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,029.59 – $3,438.83 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,825.39 – $4,556.41 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $5,402.14 – $20,778.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,825.39 – $4,556.41 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $4,157.83 – $4,157.83 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $5,601.92 – $16,352.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $5,402.14 – $18,408.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $1,188.13 – $4,167.45 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $1,188.13 – $4,167.45 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $7,609.00 – $16,106.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $5,501.01 – $16,106.00 | 6 |