Graft bone flex 2.5cm x 5cm grafton-cost per sq cm cost in Wisconsin
GRAFT BONE FLEX 2.5CM X 5CM GRAFTON-COST PER SQ CM · HCPCS Q4205
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $1,161.57 – $3,157.04 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $120.88 – $2,874.88 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $410.80 – $1,309.05 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $2,261.83 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $2,261.83 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $2,261.83 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1,161.57 – $3,157.04 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $92.32 – $3,157.04 | 7 |