Above knee cushion socket cost in Wisconsin

Above knee cushion socket ยท HCPCS L5648

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $439.33 โ€“ $893.19 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $673.67 โ€“ $898.23 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $673.67 โ€“ $1,733.58 4