Stance phase only cost in Wisconsin

Stance phase only ยท HCPCS L5858

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $11,193.23 โ€“ $23,061.94 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $17,163.79 โ€“ $22,885.05 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $17,163.79 โ€“ $44,168.15 4