Factor viii fc fusion recomb cost in Wisconsin

Factor viii fc fusion recomb · HCPCS J7205

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $2.53 – $6.37 5
SSM Health Monroe Hospital Monroe not published $2.32 – $6.32 6
UnityPoint Health - Meriter Hospital Madison not published $2.30 – $2.53 9
SSM Health St. Mary's Hospital - Madison Madison not published $1.93 – $4.60 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $1.93 – $4.60 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1.93 – $4.60 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1.93 – $6.37 8
SSM Health Waupun Memorial Hospital Waupun not published $2.53 – $6.37 5