Bcg vaccine intravesical cost in Wisconsin

BCG VACCINE INTRAVESICAL · CPT 90586

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$164.69 – $580.32	10
SSM Health Ripon Community Hospital	Ripon	not published	$172.66 – $408.24	4
SSM Health Monroe Hospital	Monroe	not published	$156.96 – $470.89	6
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$164.69 – $580.32	10
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$204.16 – $1,400.00	5
UnityPoint Health - Meriter Hospital	Madison	not published	$160.21 – $238.21	4
SSM Health St. Mary's Hospital - Madison	Madison	not published	$208.20 – $296.71	3
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$179.45 – $536.56	11
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$179.45 – $536.56	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$164.69 – $580.32	10
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$227.59 – $296.71	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$227.59 – $296.71	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$204.16 – $1,400.00	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$204.16 – $1,400.00	5
SSM Health Waupun Memorial Hospital	Waupun	not published	$172.66 – $408.24	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$172.66 – $408.24	4