Floweramniopatch, per sq cm cost in Wisconsin

Floweramniopatch, per sq cm · HCPCS Q4178

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $101.23 – $237.35 4
SSM Health Monroe Hospital Monroe not published $92.03 – $250.55 6
UnityPoint Health - Meriter Hospital Madison not published $83.49 – $143.35 4
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $176.91 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $176.91 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $176.91 5
SSM Health Waupun Memorial Hospital Waupun not published $101.23 – $237.35 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $237.56 7