MRA without fol w/cont, lwr ext cost in Wisconsin
Mra w/o fol w/cont, lwr ext · HCPCS C8914
$2,192.59
lowest in Wisconsin
$2,474.45
state median
$5,514.30
highest in Wisconsin
$1,965.82
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $2,192.59 | $344.96 – $1,582.22 | 14 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $2,474.45 | $258.81 – $665.99 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | $2,474.45 | not published | 0 |
| SSM Health Ripon Community Hospital | Ripon | $2,474.45 | not published | 0 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,612.50 | $254.15 – $338.87 | 2 |
| SSM Health Monroe Hospital | Monroe | $2,895.20 | $338.87 – $338.87 | 1 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,486.45 | $254.15 – $338.87 | 2 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $5,514.30 | $263.55 – $351.40 | 2 |