Factor xiii anti-hem factor cost in Wisconsin

Factor XIII anti-hem factor · HCPCS J7180

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $11.34 – $28.51 5
SSM Health Monroe Hospital Monroe not published $10.48 – $28.53 6
UnityPoint Health - Meriter Hospital Madison not published $10.15 – $10.78 9
SSM Health St. Mary's Hospital - Madison Madison not published $8.43 – $20.48 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $8.43 – $20.48 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $8.43 – $20.48 5
SSM Health Waupun Memorial Hospital Waupun not published $11.34 – $28.51 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $8.43 – $28.51 8