Intraoral periapical first cost in Wisconsin
Intraoral periapical first · HCPCS D0220
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Monroe Hospital | Monroe | not published | $84.53 – $84.53 | 1 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $63.40 – $84.53 | 2 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $65.74 – $87.66 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $63.40 – $84.53 | 2 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $64.56 – $166.13 | 4 |