Xpos opn fmrl eprst aor uni add-on cost in Wisconsin
HC XPOS OPN FMRL EPRST AOR UNI ADD-ON · CPT 34812
$1,100.00
lowest in Wisconsin
$3,295.00
state median
$5,988.18
highest in Wisconsin
$2,087.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Mary's Hospital - Madison | Madison | $1,100.00 | $4,982.00 – $4,982.00 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $2,789.60 | $3,388.00 – $3,388.00 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | $2,789.60 | $3,388.00 – $3,388.00 | 1 |
| SSM Health Ripon Community Hospital | Ripon | $2,789.60 | $3,388.00 – $3,388.00 | 1 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $3,120.64 | $303.81 – $1,195.03 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $3,120.64 | $303.81 – $1,195.03 | 6 |
| Aurora Baycare Medical Center | Green Bay | $3,295.00 | not published | 0 |
| Aurora Medical Center Grafton | Grafton | $3,295.00 | not published | 0 |
| Aurora Medical Center Kenosha | Kenosha | $3,295.00 | not published | 0 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $3,295.00 | not published | 0 |
| Aurora Medical Center Sheboygan County | Sheboygan | $3,295.00 | not published | 0 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $3,295.00 | not published | 0 |
| Aurora Medical Center Summit | Summit | $3,295.00 | not published | 0 |
| Aurora Medical Center Washington County | Hartford | $3,295.00 | not published | 0 |
| Aurora West Allis Medical Center | West Allis | $3,295.00 | not published | 0 |
| UnityPoint Health - Meriter Hospital | Madison | $3,668.00 | $171.13 – $1,288.16 | 14 |
| Midwest Orthopedic Specialty Hospital | Franklin | $3,714.77 | $1,231.35 – $1,231.35 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $3,714.77 | $1,231.35 – $1,231.35 | 1 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $3,714.77 | $1,231.35 – $1,231.35 | 1 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $5,988.18 | $1,766.63 – $1,872.63 | 7 |
| HSHS St. Vincent Hospital | Green Bay | $5,988.18 | $1,831.68 – $1,941.58 | 7 |
| SSM Health Monroe Hospital | Monroe | not published | $4,743.00 – $4,743.00 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $197.01 – $729.31 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $20,066.00 | 6 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $4,321.00 – $4,321.00 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $4,867.00 – $4,867.00 | 1 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $197.01 – $729.31 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $197.01 – $729.31 | 7 |