Miroderm cost in Wisconsin

Miroderm · HCPCS Q4175

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $75.42 – $187.97 4
SSM Health Monroe Hospital Monroe not published $68.56 – $186.65 6
UnityPoint Health - Meriter Hospital Madison not published $62.86 – $67.72 4
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $128.66 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $128.66 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $128.66 5
SSM Health Waupun Memorial Hospital Waupun not published $75.42 – $187.97 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $75.42 – $237.56 7