Unlisted spec derm svc/px cost in Wisconsin

UNLISTED SPEC DERM SVC/PX · CPT 96999

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$192.94 – $270.12	3
SSM Health Monroe Hospital	Monroe	not published	$194.88 – $194.88	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$192.94 – $270.12	3
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$191.02 – $401.14	5
UnityPoint Health - Meriter Hospital	Madison	not published	$191.93 – $191.93	7
SSM Health St. Mary's Hospital - Madison	Madison	not published	$146.16 – $194.88	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$193.43 – $425.55	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$193.43 – $425.55	3
Midwest Orthopedic Specialty Hospital	Franklin	not published	$192.94 – $270.12	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$151.57 – $202.09	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$146.16 – $194.88	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$191.02 – $401.14	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$148.84 – $383.01	4