healthcosts.net

Fosphenytoin 50 mg pe/ml injection (wrapper) cost in Wisconsin

FOSPHENYTOIN 50 MG PE/ML INJECTION (WRAPPER) · HCPCS Q2009

$21.65

lowest in Wisconsin

$22.75

state median

$101.52

highest in Wisconsin

$107.31

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Calumet Hospital, Inc.	Chilton	$21.65	$13.81 – $13.81	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$22.75	$4.65 – $13.78	7
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$22.75	$11.13 – $11.13	1
Ascension St. Francis Hospital, Inc.	Milwaukee	$22.75	$11.13 – $11.13	1
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$28.18	$13.81 – $13.81	2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$28.18	$13.81 – $13.81	2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$33.39	$4.65 – $13.78	7
Adventhealth Durand	Durand	$101.52	not published	0
SSM Health Waupun Memorial Hospital	Waupun	not published	$22.74 – $22.74	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$0.50 – $22.74	5
SSM Health Ripon Community Hospital	Ripon	not published	$22.74 – $22.74	1
SSM Health Monroe Hospital	Monroe	not published	$0.66 – $20.91	2