Carbidopa levodopa ent 100ml cost in Wisconsin

Carbidopa levodopa ent 100ml · HCPCS J7340

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $234.90 – $265.96 9
SSM Health Waupun Memorial Hospital Waupun not published $255.47 – $642.38 5
SSM Health St. Mary's Hospital - Madison Madison not published $183.37 – $461.98 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $183.37 – $461.98 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $183.37 – $461.98 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $183.37 – $642.38 8
SSM Health Ripon Community Hospital Ripon not published $255.47 – $642.38 5
SSM Health Monroe Hospital Monroe not published $235.77 – $641.88 6