Membrane amnio clarix 4x3cm 1k -cost per sq cm cost in Wisconsin
MEMBRANE AMNIO CLARIX 4X3CM 1K -COST PER SQ CM · HCPCS Q4155
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $28.94 – $78.19 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $26.31 – $78.93 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $21.82 – $27.31 | 3 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $31.64 – $53.13 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $38.15 – $53.13 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $38.15 – $53.13 | 3 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $28.94 – $78.19 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $28.94 – $78.19 | 4 |