Combination bilateral ho cost in Wisconsin

Combination bilateral HO ยท HCPCS L1690

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $1,162.37 โ€“ $2,394.83 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,782.38 โ€“ $2,376.51 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,782.38 โ€“ $4,586.66 4