Brace back epic tslo 456 cost in Wisconsin
BRACE BACK EPIC TSLO 456 · HCPCS L0457
$1,353.62
lowest in Wisconsin
$1,455.78
state median
$1,455.78
highest in Wisconsin
$1,558.20
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $1,353.62 | $996.39 – $1,441.20 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,353.62 | $996.39 – $1,441.20 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | $1,455.78 | $996.39 – $996.39 | 2 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $1,455.78 | $996.39 – $996.39 | 2 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $1,455.78 | $996.39 – $996.39 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $491.80 – $655.74 | 2 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $491.80 – $1,265.58 | 4 |