Elosulfase alfa, injection cost in Wisconsin

Elosulfase alfa, injection · HCPCS J1322

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Janesville Janesville not published $239.64 – $582.91 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $239.64 – $582.91 5
UnityPoint Health - Meriter Hospital Madison not published $288.54 – $306.80 9
SSM Health Waupun Memorial Hospital Waupun not published $318.24 – $800.20 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $239.64 – $800.20 8
SSM Health Ripon Community Hospital Ripon not published $318.24 – $800.20 5
SSM Health Monroe Hospital Monroe not published $293.94 – $800.25 6
SSM Health St. Mary's Hospital - Madison Madison not published $239.64 – $582.91 5