Splint extn xsm w sof-stretch rolyan cost in Wisconsin
SPLINT EXTN XSM W SOF-STRETCH ROLYAN · HCPCS L3925
$42.50
lowest in Wisconsin
$42.50
state median
$164.16
highest in Wisconsin
$67.76
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $42.50 | not published | 0 |
| Aurora Medical Center Bay Area | Marinette | $42.50 | not published | 0 |
| Aurora Medical Center Burlington | Burlington | $42.50 | not published | 0 |
| Aurora Medical Center Grafton | Grafton | $42.50 | not published | 0 |
| Aurora Medical Center Manitowoc | Two Rivers | $42.50 | not published | 0 |
| Aurora Medical Center Kenosha | Kenosha | $42.50 | not published | 0 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $42.50 | not published | 0 |
| Aurora Medical Center Sheboygan County | Sheboygan | $42.50 | not published | 0 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $42.50 | not published | 0 |
| Aurora Medical Center Summit | Summit | $42.50 | not published | 0 |
| Aurora Medical Center Washington County | Hartford | $42.50 | not published | 0 |
| Aurora West Allis Medical Center | West Allis | $42.50 | not published | 0 |
| Ascension Calumet Hospital, Inc. | Chilton | $164.16 | $59.89 – $59.89 | 2 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $35.93 – $72.36 | 8 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $55.10 – $73.47 | 2 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $55.10 – $141.80 | 4 |