Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm cost in Wisconsin
GRAFT PRIMATRIX XCR 6CM X6CM N-Q4110-COST PER SQ CM · HCPCS Q4110
$1,224.83
lowest in Wisconsin
$1,224.83
state median
$1,224.83
highest in Wisconsin
$1,366.45
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,224.83 | $49.31 – $130.81 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $1,224.83 | $49.31 – $130.81 | 9 |
| SSM Health Ripon Community Hospital | Ripon | not published | $71.95 – $178.08 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $65.41 – $178.08 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $64.03 – $124.27 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $125.35 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $124.27 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $71.95 – $178.08 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $71.95 – $237.56 | 7 |