healthcosts.net

Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Wisconsin

GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133

$159.20

lowest in Wisconsin

$1,126.25

state median

$4,770.00

highest in Wisconsin

$765.06

national median

Hospital	City	Cash price	Negotiated range	Payers
UnityPoint Health - Meriter Hospital	Madison	$159.20	$45.77 – $169.15	10
Ascension Calumet Hospital, Inc.	Chilton	$384.75	$197.15 – $219.10	3
Ascension St. Francis Hospital, Inc.	Milwaukee	$1,123.34	$157.70 – $890.19	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$1,126.25	$157.70 – $418.98	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$2,387.65	$157.70 – $418.98	10
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$2,492.61	$197.15 – $1,400.00	7
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$2,492.61	$197.15 – $1,400.00	7
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$4,770.00	$157.70 – $472.50	10
SSM Health Ripon Community Hospital	Ripon	not published	$150.01 – $377.75	4
SSM Health Monroe Hospital	Monroe	not published	$120.88 – $371.27	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$90.66 – $258.74	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$94.01 – $258.74	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$90.66 – $258.74	5
SSM Health Waupun Memorial Hospital	Waupun	not published	$150.01 – $377.75	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$92.32 – $377.75	7