Xylose absorption test blood &/or urine cost in Wisconsin
HC XYLOSE ABSORPTION TEST BLOOD &/OR URINE · CPT 84620
$40.28
lowest in Wisconsin
$108.90
state median
$182.50
highest in Wisconsin
$99.89
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $40.28 | $12.91 – $51.59 | 16 |
| Midwest Orthopedic Specialty Hospital | Franklin | $48.76 | $12.91 – $53.13 | 17 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $48.76 | $12.91 – $53.13 | 17 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $48.76 | $12.91 – $53.13 | 17 |
| SSM Health Monroe Hospital | Monroe | $108.90 | $12.91 – $22.59 | 4 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $124.74 | $12.91 – $29.05 | 16 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $124.74 | $12.91 – $29.05 | 16 |
| HSHS St. Vincent Hospital | Green Bay | $124.74 | $12.91 – $29.05 | 16 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $124.74 | $12.91 – $16.78 | 11 |
| Aurora Medical Center Bay Area | Marinette | $182.50 | $10.33 – $45.31 | 16 |
| SSM Health Ripon Community Hospital | Ripon | not published | $12.91 – $23.99 | 4 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $12.91 – $49.83 | 16 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $12.52 – $21.22 | 5 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $7.75 – $18.43 | 9 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $12.91 – $51.59 | 16 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $9.68 – $96.37 | 5 |
| Aurora West Allis Medical Center | West Allis | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Washington County | Hartford | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Summit | Summit | not published | $10.33 – $45.31 | 16 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $10.33 – $45.31 | 16 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Kenosha | Kenosha | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Grafton | Grafton | not published | $10.33 – $45.31 | 16 |
| Aurora Medical Center Burlington | Burlington | not published | $10.33 – $45.31 | 16 |
| Aurora Baycare Medical Center | Green Bay | not published | $10.33 – $45.31 | 16 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $9.68 – $94.21 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $9.68 – $117.78 | 5 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $13.56 – $49.83 | 11 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $12.91 – $49.83 | 16 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $12.91 – $23.99 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $9.68 – $24.92 | 7 |