Lumbar or lumbar rib pad cost in Wisconsin

Lumbar or lumbar rib pad ยท HCPCS L1040

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $53.29 โ€“ $106.82 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $81.72 โ€“ $108.96 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $81.72 โ€“ $210.29 4