Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm cost in Wisconsin

HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm · CPT 15275

$142.04

lowest in Wisconsin

$1,110.45

state median

$1,417.60

highest in Wisconsin

$2,164.64

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 $142.04 $148.82 – $625.25 6
SSM Health Ripon Community Hospital Ripon $1,110.45 $3,388.00 – $4,761.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $1,110.45 $548.27 – $4,761.00 6
SSM Health Waupun Memorial Hospital Waupun $1,110.45 $3,388.00 – $4,761.00 3
UnityPoint Health - Meriter Hospital Madison $1,417.60 $26.91 – $285.84 13
SSM Health St. Mary's Hospital - Madison Madison not published $538.41 – $4,982.00 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $558.33 – $4,321.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $538.41 – $4,867.00 4
SSM Health Monroe Hospital Monroe not published $717.88 – $4,743.00 3
Ascension St. Francis Hospital, Inc. Milwaukee not published $541.48 – $541.48 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $541.48 – $541.48 1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $97.33 – $571.88 7
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $1,549.00 – $16,897.00 6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $97.33 – $571.88 7
Ascension Calumet Hospital, Inc. Chilton not published $97.33 – $571.88 7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $148.82 – $625.25 6
Midwest Orthopedic Specialty Hospital Franklin not published $541.48 – $541.48 1