Pelv band/spread bar thigh c cost in Wisconsin

Pelv band/spread bar thigh c ยท HCPCS L1640

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $284.55 โ€“ $606.14 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $436.34 โ€“ $581.79 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $436.34 โ€“ $1,122.85 4