Extraction erupted tooth/exr cost in Wisconsin

Extraction erupted tooth/exr · HCPCS D7140

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $5,512.00 – $5,512.00 1
SSM Health Monroe Hospital Monroe not published $627.95 – $9,837.00 2
SSM Health Waupun Memorial Hospital Waupun not published $5,512.00 – $5,512.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $479.59 – $1,234.13 4