Brace wrist classic lft sm cost in Wisconsin
BRACE WRIST CLASSIC LFT SM · HCPCS L3908
$66.19
lowest in Wisconsin
$170.66
state median
$183.54
highest in Wisconsin
$75.66
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | $66.19 | not published | 0 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $66.19 | $61.50 – $158.26 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | $66.19 | not published | 0 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $170.66 | $66.85 – $96.69 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $170.66 | $66.85 – $96.69 | 4 |
| Ascension Calumet Hospital, Inc. | Chilton | $183.54 | $66.85 – $66.85 | 2 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $183.54 | $66.85 – $66.85 | 2 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $183.54 | $66.85 – $66.85 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $61.50 – $82.00 | 2 |