Splint dorsal bloc wh med perf 3.2mm lf polyflex ii cost in Wisconsin

SPLINT DORSAL BLOC WH MED PERF 3.2MM LF POLYFLEX II · HCPCS L3906

$86.91

lowest in Wisconsin

$345.94

state median

$1,267.11

highest in Wisconsin

$392.09

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Clare Hospital - Baraboo Baraboo $86.91 $425.09 – $566.79 2
UnityPoint Health - Meriter Hospital Madison $266.94 $76.74 – $555.68 13
Aurora Baycare Medical Center Green Bay $330.00 not published 0
Aurora Medical Center Bay Area Marinette $330.00 not published 0
Aurora Medical Center Burlington Burlington $330.00 not published 0
Aurora Medical Center Grafton Grafton $330.00 not published 0
Aurora Medical Center Manitowoc Two Rivers $330.00 not published 0
Aurora Medical Center Kenosha Kenosha $330.00 not published 0
Aurora Medical Center Fond du Lac Fond Du Lac $330.00 not published 0
Aurora Medical Center Sheboygan County Sheboygan $330.00 not published 0
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $330.00 not published 0
Aurora Medical Center Summit Summit $330.00 not published 0
Aurora Medical Center Washington County Hartford $330.00 not published 0
Aurora West Allis Medical Center West Allis $330.00 not published 0
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $345.94 $425.09 – $1,093.90 4
SSM Health Waupun Memorial Hospital Waupun $345.94 not published 0
SSM Health Ripon Community Hospital Ripon $345.94 not published 0
HSHS St. Mary's Hospital Medical Center GREEN BAY $684.42 $660.83 – $1,486.87 9
HSHS St. Nicholas Hospital SHEBOYGAN $684.42 $660.83 – $1,486.87 9
HSHS St. Vincent Hospital Green Bay $684.42 $660.83 – $1,486.87 9
HSHS St. Clare Memorial Hospital OCONTO FALLS $684.42 $660.83 – $660.83 1
Midwest Orthopedic Specialty Hospital Franklin $1,178.19 $690.30 – $690.30 1
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $1,178.19 $462.05 – $668.31 4
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $1,178.19 $462.05 – $668.31 4
Ascension St. Francis Hospital, Inc. Milwaukee $1,178.19 $690.30 – $690.30 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $1,178.19 $690.30 – $690.30 1
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $1,267.11 $462.05 – $462.05 2
Ascension Calumet Hospital, Inc. Chilton $1,267.11 $462.05 – $462.05 2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $1,267.11 $462.05 – $462.05 2