Energy storing foot cost in Wisconsin

Energy storing foot ยท HCPCS L5976

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $353.93 โ€“ $782.08 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $542.73 โ€“ $723.64 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $542.73 โ€“ $1,396.63 4