Combo ankle/foot prosthesis cost in Wisconsin

Combo ankle/foot prosthesis ยท HCPCS L5975

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $279.21 โ€“ $575.23 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $428.14 โ€“ $570.86 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $428.14 โ€“ $1,101.76 4