Insert drug del implant, >=4 cost in Wisconsin
Insert drug del implant, >=4 · HCPCS G0516
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $1,887.00 – $2,654.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $433.92 – $4,217.00 | 3 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $89.25 – $3,937.00 | 10 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $325.44 – $4,198.00 | 4 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $337.47 – $4,074.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $325.44 – $4,401.00 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1,887.00 – $2,654.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $331.39 – $2,334.00 | 6 |