Zenith amniotic membrane psc cost in Wisconsin

Zenith amniotic membrane psc · HCPCS Q4253

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $78.65 – $325.15 4
SSM Health Monroe Hospital Monroe not published $71.50 – $194.67 6
UnityPoint Health - Meriter Hospital Madison not published $83.18 – $687.19 4
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $220.95 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $220.95 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $220.95 5
SSM Health Waupun Memorial Hospital Waupun not published $78.65 – $325.15 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $78.65 – $325.15 7