Ortho ewh rgd without jnt cstm w/fit&adj cost in Wisconsin

HC ORTHO EWH RGD W/O JNT CSTM W/FIT&ADJ · HCPCS L3763

$587.60

lowest in Wisconsin

$1,739.46

state median

$1,870.74

highest in Wisconsin

$772.99

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $587.60 $627.74 – $1,615.39 4
SSM Health Waupun Memorial Hospital Waupun $587.60 not published 0
SSM Health Ripon Community Hospital Ripon $587.60 not published 0
Midwest Orthopedic Specialty Hospital Franklin $1,739.46 $1,019.37 – $1,019.37 1
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $1,739.46 $682.30 – $986.91 4
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $1,739.46 $682.30 – $986.91 4
Ascension St. Francis Hospital, Inc. Milwaukee $1,739.46 $1,019.37 – $1,019.37 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $1,739.46 $1,019.37 – $1,019.37 1
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $1,870.74 $682.30 – $682.30 2
Ascension Calumet Hospital, Inc. Chilton $1,870.74 $682.30 – $682.30 2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $1,870.74 $682.30 – $682.30 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $627.74 – $836.99 2