Endo outlet restrict w/tube cost in Wisconsin
Endo outlet restrict w/tube · HCPCS C9785
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $8,030.21 – $16,352.00 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $7,743.83 – $18,408.00 | 3 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $7,984.00 – $28,405.00 | 8 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $7,609.00 – $20,292.15 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $7,609.00 – $17,314.00 | 2 |
| SSM Health Ripon Community Hospital | Ripon | not published | $7,609.00 – $17,314.00 | 2 |
| SSM Health Monroe Hospital | Monroe | not published | $10,325.10 – $16,164.00 | 2 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $7,743.83 – $20,778.00 | 3 |