Dalbavancin 500 mg intravenous solution cost in Wisconsin
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION · HCPCS J0875
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $8.47 – $29.55 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $8.47 – $29.55 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $16.89 – $42.47 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $8.47 – $42.47 | 8 |
| SSM Health Ripon Community Hospital | Ripon | not published | $16.89 – $42.47 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $11.29 – $42.39 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $8.47 – $29.55 | 5 |