Symes ankle without (sach) foot cost in Wisconsin

Symes ankle w/o (SACH) foot ยท HCPCS L5703

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $1,519.42 โ€“ $3,045.61 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2,329.89 โ€“ $3,106.52 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,329.89 โ€“ $5,995.58 4