Replace non-molded thigh lac cost in Wisconsin

Replace non-molded thigh lac ยท HCPCS L4045

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $184.37 โ€“ $411.02 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $282.70 โ€“ $376.94 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $282.70 โ€“ $727.49 4