Below knee suction socket cost in Wisconsin

Below knee suction socket ยท HCPCS L5647

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $476.31 โ€“ $1,314.94 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $730.38 โ€“ $973.84 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $730.38 โ€“ $1,879.51 4