healthcosts.net

Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr cost in Wisconsin

AMPHOTERICIN B LIPOSOMAL IN D5W IV SYRINGE 1 MG/ML (NEO/PED) - CNR · HCPCS J0289

$87.73

lowest in Wisconsin

$89.62

state median

$96.09

highest in Wisconsin

$382.55

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension St. Francis Hospital, Inc.	Milwaukee	$87.73	$22.86 – $73.14	11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$87.73	$28.20 – $85.00	10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$89.62	$28.20 – $85.00	10
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$94.57	$16.27 – $73.14	11
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$96.09	$21.97 – $168.58	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$25.64 – $65.29	5
SSM Health St. Mary's Hospital - Madison	Madison	not published	$14.88 – $44.36	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$14.88 – $44.36	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$14.88 – $44.36	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$14.88 – $65.29	8
SSM Health Ripon Community Hospital	Ripon	not published	$25.64 – $65.29	5
SSM Health Monroe Hospital	Monroe	not published	$19.84 – $63.46	6