Cltx palatal/max fx wire fix cost in Wisconsin
CLTX PALATAL/MAX FX WIRE FIX · CPT 21421
$2,764.80
lowest in Wisconsin
$2,764.80
state median
$2,764.80
highest in Wisconsin
$4,199.49
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $2,764.80 | $509.36 – $1,701.26 | 13 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,504.63 – $6,798.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,415.31 – $6,687.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $889.44 – $2,698.42 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $889.44 – $2,698.42 | 6 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $579.70 – $2,460.34 | 7 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $579.70 – $2,460.34 | 7 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $2,780.42 – $2,780.42 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $2,780.42 – $2,780.42 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $579.70 – $2,460.34 | 7 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $2,780.42 – $2,780.42 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,388.00 – $7,791.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $2,459.51 – $7,791.00 | 6 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,388.00 – $7,791.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $3,220.41 – $8,701.00 | 3 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $16,897.00 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,415.31 – $8,124.00 | 4 |