Doxycycline hyclate 100 mg intravenous powder for solution cost in Wisconsin

DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION · HCPCS J1271

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Janesville Janesville not published $0.17 – $0.22 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $0.17 – $0.22 2
SSM Health Waupun Memorial Hospital Waupun not published $0.13 – $0.22 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $0.13 – $0.22 2
SSM Health Ripon Community Hospital Ripon not published $0.13 – $0.22 2
SSM Health Monroe Hospital Monroe not published $0.12 – $0.36 5
SSM Health St. Mary's Hospital - Madison Madison not published $0.17 – $0.22 2