Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm cost in Wisconsin
TISSUE MATRIX 1.8X1.8CM COLLAGEN DERMACELL POROUS 4SQ CM COST PER SQ CM · HCPCS Q4122
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $329.51 – $329.51 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $120.88 – $329.51 | 2 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $113.30 – $113.30 | 1 |
| Aurora West Allis Medical Center | West Allis | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Washington County | Hartford | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Summit | Summit | not published | $96.80 – $154.28 | 2 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $96.80 – $154.28 | 2 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Kenosha | Kenosha | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Grafton | Grafton | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Burlington | Burlington | not published | $96.80 – $154.28 | 2 |
| Aurora Medical Center Bay Area | Marinette | not published | $96.80 – $154.28 | 2 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $329.51 – $329.51 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $92.32 – $329.51 | 5 |