Sheath above knee cost in Wisconsin

Sheath above knee ยท HCPCS L8410

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $12.40 โ€“ $26.27 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $19.02 โ€“ $25.36 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $19.02 โ€“ $48.94 4