Open tx iliac spine uni/bil cost in Wisconsin

Open tx iliac spine uni/bil · HCPCS G0412

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $3,735.00 – $18,364.00 3
SSM Health Monroe Hospital Monroe not published $7,048.20 – $17,116.00 3
UnityPoint Health - Meriter Hospital Madison not published $655.21 – $10,922.00 10
SSM Health St. Mary's Hospital - Madison Madison not published $5,286.15 – $18,955.00 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $5,481.64 – $16,582.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $5,286.15 – $16,310.00 4
SSM Health Waupun Memorial Hospital Waupun not published $3,735.00 – $18,364.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $3,735.00 – $18,364.00 6