Crotalidae poly immune fab cost in Wisconsin

Crotalidae poly immune fab · HCPCS J0840

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Janesville Janesville not published $1,430.18 – $3,536.15 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,430.18 – $3,536.15 5
UnityPoint Health - Meriter Hospital Madison not published $1,861.13 – $4,164.18 9
SSM Health Waupun Memorial Hospital Waupun not published $1,926.86 – $4,845.08 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,430.18 – $4,845.08 8
SSM Health Ripon Community Hospital Ripon not published $1,926.86 – $4,845.08 5
SSM Health Monroe Hospital Monroe not published $1,755.81 – $4,780.20 6
SSM Health St. Mary's Hospital - Madison Madison not published $1,430.18 – $3,536.15 5