Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child cost in Wisconsin
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child · CPT 15100
$978.69
lowest in Wisconsin
$3,668.28
state median
$3,668.28
highest in Wisconsin
$3,247.19
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Calumet Hospital, Inc. | Chilton | $978.69 | $738.28 – $1,876.47 | 7 |
| UnityPoint Health - Meriter Hospital | Madison | $2,977.60 | $279.45 – $2,157.67 | 13 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $3,668.28 | $95.40 – $4,540.03 | 14 |
| HSHS St. Vincent Hospital | Green Bay | $3,668.28 | $113.00 – $4,509.30 | 14 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $3,668.28 | $95.40 – $3,341.59 | 9 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | not published | not published | 0 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $3,103.36 – $3,103.36 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,388.00 – $4,761.00 | 3 |
| SSM Health Monroe Hospital | Monroe | not published | $2,004.13 – $4,743.00 | 3 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $3,103.36 – $3,103.36 | 1 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $738.28 – $3,099.11 | 7 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,549.00 – $16,897.00 | 6 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,128.99 – $3,388.36 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $1,503.10 – $4,982.00 | 4 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,128.99 – $3,388.36 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $3,103.36 – $3,103.36 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,558.69 – $4,321.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,503.10 – $4,867.00 | 4 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $738.28 – $3,099.11 | 7 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3,388.00 – $4,761.00 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,530.61 – $4,761.00 | 6 |