Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm cost in Wisconsin

DRSG WOUND MATRIX SHEET 2.5X2.5CM-7 SQ CM-COST PER SQ CM · HCPCS A2007

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $226.60 – $226.60 1
SSM Health Waupun Memorial Hospital Waupun not published $219.27 – $219.27 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $237.56 5
SSM Health Ripon Community Hospital Ripon not published $219.27 – $219.27 1
SSM Health Monroe Hospital Monroe not published $120.88 – $219.27 2