Galac-1-phosphate uridyltran - sendout cost in Wisconsin

Galac-1-Phosphate Uridyltran - Sendout · CPT 82775

$23.37

lowest in Wisconsin

$69.96

state median

$260.18

highest in Wisconsin

$82.50

national median

Hospital City Cash price Negotiated range Payers
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $23.37 $21.07 – $81.33 16
Midwest Orthopedic Specialty Hospital Franklin $69.96 $21.07 – $94.43 17
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $69.96 $21.07 – $91.69 16
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $69.96 $21.07 – $91.69 16
Ascension St. Francis Hospital, Inc. Milwaukee $69.96 $21.07 – $94.43 17
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $69.96 $21.07 – $94.43 17
SSM Health Monroe Hospital Monroe $82.50 $21.07 – $36.87 4
UnityPoint Health - Meriter Hospital Madison $260.18 $12.64 – $101.47 14
SSM Health Ripon Community Hospital Ripon not published $21.07 – $42.65 4
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $21.07 – $81.33 16
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $20.44 – $37.74 5
SSM Health St. Mary's Hospital - Madison Madison not published $15.80 – $171.36 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $15.80 – $167.53 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $15.80 – $209.40 5
Ascension Calumet Hospital, Inc. Chilton not published $22.12 – $81.33 11
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $15.80 – $40.67 7
SSM Health Waupun Memorial Hospital Waupun not published $21.07 – $42.65 4