Artacent wound, per sq cm cost in Wisconsin

Artacent wound, per sq cm · HCPCS Q4169

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $4,219.09 – $9,351.41 2
SSM Health Monroe Hospital Monroe not published $120.88 – $9,351.41 2
UnityPoint Health - Meriter Hospital Madison not published $279.86 – $2,853.10 4
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $4,219.09 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $4,219.09 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $4,219.09 3
SSM Health Waupun Memorial Hospital Waupun not published $4,219.09 – $9,351.41 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $9,351.41 6