Below knee total contact cost in Wisconsin

Below knee total contact ยท HCPCS L5637

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $230.64 โ€“ $462.31 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $353.67 โ€“ $471.56 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $353.67 โ€“ $910.11 4