Formoterol fumarate, inh cost in Wisconsin
Formoterol fumarate, inh · HCPCS J7606
$15.89
lowest in Wisconsin
$32.62
state median
$200.51
highest in Wisconsin
$59.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $15.89 | $4.87 – $27.87 | 6 |
| Midwest Orthopedic Specialty Hospital | Franklin | $32.62 | $2.32 – $25.18 | 10 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $32.62 | $2.32 – $25.85 | 10 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $47.79 | $2.32 – $25.85 | 10 |
| Adventhealth Durand | Durand | $200.51 | not published | 0 |
| SSM Health Ripon Community Hospital | Ripon | not published | $1.87 – $5.15 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $1.70 – $5.10 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1.97 – $14.85 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2.47 – $3.74 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2.47 – $3.74 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2.47 – $3.74 | 3 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1.87 – $5.15 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1.87 – $5.15 | 5 |