Derma-gide, 1 sq cm cost in Wisconsin
Derma-gide, 1 sq cm · HCPCS Q4203
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $330.20 – $1,655.60 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $120.88 – $817.25 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $231.29 – $871.37 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $1,655.60 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $1,655.60 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $1,655.60 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $330.20 – $1,655.60 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $92.32 – $1,655.60 | 7 |