Amphotericin b lipid complex cost in Wisconsin

Amphotericin b lipid complex · HCPCS J0287

Hospital City Cash price Negotiated range Payers
SSM Health Waupun Memorial Hospital Waupun not published $11.33 – $28.05 3
SSM Health St. Mary's Hospital - Madison Madison not published $14.94 – $19.57 2
SSM Health St. Mary's Hospital - Janesville Janesville not published $14.94 – $19.57 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $14.94 – $19.57 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $11.33 – $28.05 3
SSM Health Ripon Community Hospital Ripon not published $11.33 – $28.05 3
SSM Health Monroe Hospital Monroe not published $10.30 – $30.90 5