Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er cost in Wisconsin

CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER · HCPCS J0741

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $22.42 – $23.63 9
SSM Health Waupun Memorial Hospital Waupun not published $25.09 – $63.08 5
SSM Health St. Mary's Hospital - Madison Madison not published $18.50 – $44.90 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $18.50 – $44.90 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $18.50 – $44.90 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $18.50 – $63.08 8
SSM Health Ripon Community Hospital Ripon not published $25.09 – $63.08 5
SSM Health Monroe Hospital Monroe not published $23.13 – $62.96 6