Who nontorsion jnts pre cst cost in Wisconsin

Who nontorsion jnts pre cst ยท HCPCS L3915

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $290.80 โ€“ $599.15 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $445.90 โ€“ $594.54 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $445.90 โ€“ $1,147.46 4