Bladder calculi irrig sol cost in Wisconsin

Bladder calculi irrig sol · HCPCS Q2004

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $37.87 – $37.87 1
SSM Health Monroe Hospital Monroe not published $37.87 – $37.87 1
UnityPoint Health - Meriter Hospital Madison not published $66.57 – $101.68 2
SSM Health Waupun Memorial Hospital Waupun not published $37.87 – $37.87 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $37.87 – $37.87 1