Ampho b cholesteryl sulfate cost in Wisconsin
Ampho b cholesteryl sulfate · HCPCS J0288
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $192.87 – $192.87 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $192.87 – $192.87 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $16.00 – $29.91 | 2 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $192.87 – $192.87 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $192.87 – $192.87 | 1 |