Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm cost in Wisconsin

DRESSING WOUND MATRIX 2X2IN 25SQCM-Q4108-COST PER SQ CM · HCPCS Q4108

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Janesville Janesville not published $73.20 – $125.35 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $73.20 – $120.88 5
UnityPoint Health - Meriter Hospital Madison not published $46.14 – $51.92 4
SSM Health Waupun Memorial Hospital Waupun not published $55.53 – $122.08 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $55.53 – $237.56 7
SSM Health Ripon Community Hospital Ripon not published $55.53 – $122.08 4
SSM Health Monroe Hospital Monroe not published $50.48 – $137.43 6
SSM Health St. Mary's Hospital - Madison Madison not published $73.20 – $120.88 5