Factor ix non-recombinant cost in Wisconsin

Factor ix non-recombinant · HCPCS J7193

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $1.45 – $3.65 5
SSM Health Monroe Hospital Monroe not published $1.38 – $3.76 6
UnityPoint Health - Meriter Hospital Madison not published $1.34 – $1.44 9
SSM Health St. Mary's Hospital - Madison Madison not published $1.05 – $2.54 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $1.05 – $2.54 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1.05 – $2.54 5
SSM Health Waupun Memorial Hospital Waupun not published $1.45 – $3.65 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1.05 – $3.65 8