healthcosts.net

Ampicillin-sulbactam 1.5 gram solution for injection cost in Wisconsin

AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION · HCPCS J0295

$6.38

lowest in Wisconsin

$16.93

state median

$442.71

highest in Wisconsin

$57.38

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Calumet Hospital, Inc.	Chilton	$6.38	$2.87 – $7.00	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$6.84	$2.87 – $11.19	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$7.92	$2.87 – $11.19	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$13.98	$2.62 – $5.76	11
Ascension St. Francis Hospital, Inc.	Milwaukee	$16.93	$2.02 – $7.20	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$16.93	$2.62 – $5.76	10
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$16.93	$2.02 – $7.20	10
Midwest Orthopedic Specialty Hospital	Franklin	$17.98	$2.02 – $13.26	10
Adventhealth Durand	Durand	$442.71	not published	0
SSM Health Waupun Memorial Hospital	Waupun	not published	$1.73 – $4.47	5
SSM Health St. Mary's Hospital - Madison	Madison	not published	$2.28 – $3.03	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$2.28 – $3.03	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$2.28 – $3.03	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$1.73 – $4.47	5
SSM Health Ripon Community Hospital	Ripon	not published	$1.73 – $4.47	5
SSM Health Monroe Hospital	Monroe	not published	$1.57 – $4.72	6