Xwrap 1 sq cm cost in Wisconsin

Xwrap 1 sq cm · HCPCS Q4204

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $3,221.92 – $9,314.68 3
SSM Health Monroe Hospital Monroe not published $120.88 – $7,974.25 5
UnityPoint Health - Meriter Hospital Madison not published $2,935.50 – $3,774.77 3
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $7,172.07 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $7,172.07 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $7,172.07 4
SSM Health Waupun Memorial Hospital Waupun not published $3,221.92 – $9,314.68 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $9,314.68 6