healthcosts.net

Graft puraplyam antimicrob 1.6-q4196-cost per sq cm cost in Wisconsin

GRAFT PURAPLYAM ANTIMICROB 1.6-Q4196-COST PER SQ CM · HCPCS Q4196

$91.16

lowest in Wisconsin

$141.36

state median

$272.00

highest in Wisconsin

$886.17

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$91.16	$72.24 – $157.48	4
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$141.36	$144.86 – $248.00	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$141.36	$144.86 – $248.00	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$176.49	$126.23 – $316.50	10
UnityPoint Health - Meriter Hospital	Madison	$272.00	$78.20 – $289.00	10
SSM Health Ripon Community Hospital	Ripon	not published	$116.01 – $287.74	4
SSM Health Monroe Hospital	Monroe	not published	$105.46 – $287.12	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$90.66 – $195.53	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$94.01 – $195.53	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$90.66 – $195.53	5
SSM Health Waupun Memorial Hospital	Waupun	not published	$116.01 – $287.74	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$92.32 – $287.74	7