Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< cost in Wisconsin
HC XFER TIS F/C/C/M/N/A/G/H/F 10SQ CM/< · CPT 14040
$2,444.00
lowest in Wisconsin
$2,444.00
state median
$3,976.50
highest in Wisconsin
$2,692.80
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $2,444.00 | $281.29 – $1,919.00 | 13 |
| HSHS St. Vincent Hospital | Green Bay | $3,976.50 | $890.03 – $4,509.30 | 14 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | not published | not published | 0 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $2,762.77 – $2,762.77 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,388.00 – $4,761.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $2,004.13 – $4,743.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $2,762.77 – $2,762.77 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $655.91 – $2,742.68 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $16,897.00 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $999.12 – $2,998.66 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $1,503.10 – $4,982.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $999.12 – $2,998.66 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $2,762.77 – $2,762.77 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,558.69 – $4,321.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,503.10 – $4,867.00 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $655.91 – $2,742.68 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $655.91 – $2,742.68 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,388.00 – $4,761.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,530.61 – $4,761.00 | 6 |