Revasc lithotrip tibi/perone cost in Wisconsin
Revasc lithotrip tibi/perone · HCPCS C9772
$10,113.40
lowest in Wisconsin
$14,170.00
state median
$33,872.85
highest in Wisconsin
$14,170.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Mary's Hospital - Madison | Madison | $10,113.40 | $8,409.93 – $27,690.00 | 4 |
| Aurora Medical Center Burlington | Burlington | $14,170.00 | not published | 0 |
| Aurora Medical Center Grafton | Grafton | $14,170.00 | not published | 0 |
| Aurora Medical Center Kenosha | Kenosha | $14,170.00 | not published | 0 |
| Aurora Medical Center Sheboygan County | Sheboygan | $14,170.00 | not published | 0 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $14,170.00 | not published | 0 |
| Aurora Medical Center Summit | Summit | $14,170.00 | not published | 0 |
| Aurora Medical Center Washington County | Hartford | $14,170.00 | not published | 0 |
| Aurora West Allis Medical Center | West Allis | $14,170.00 | not published | 0 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $14,318.70 | $8,563.85 – $27,583.00 | 6 |
| SSM Health Waupun Memorial Hospital | Waupun | $14,318.70 | $26,827.00 – $27,583.00 | 2 |
| SSM Health Ripon Community Hospital | Ripon | $14,318.70 | $26,827.00 – $27,583.00 | 2 |
| SSM Health Monroe Hospital | Monroe | $17,697.90 | $11,213.25 – $25,004.00 | 2 |
| UnityPoint Health - Meriter Hospital | Madison | $33,872.85 | $8,650.00 – $24,443.49 | 14 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $8,720.95 – $24,224.00 | 4 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $8,409.93 – $23,826.00 | 4 |