Choline c-11 cost in Wisconsin

Choline c-11 · HCPCS A9515

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $2,062.94 – $5,880.08 9
SSM Health Waupun Memorial Hospital Waupun not published $5,616.35 – $5,616.35 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,887.32 – $5,616.35 5
SSM Health Ripon Community Hospital Ripon not published $5,616.35 – $5,616.35 1
SSM Health Monroe Hospital Monroe not published $2,516.43 – $5,616.35 2