Galsulfase injection cost in Wisconsin

Galsulfase injection · HCPCS J1458

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $525.04 – $1,320.20 5
SSM Health Monroe Hospital Monroe not published $484.88 – $1,320.08 6
UnityPoint Health - Meriter Hospital Madison not published $475.67 – $505.50 4
SSM Health St. Mary's Hospital - Madison Madison not published $394.48 – $960.46 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $394.48 – $960.46 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $394.48 – $960.46 5
SSM Health Waupun Memorial Hospital Waupun not published $525.04 – $1,320.20 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $394.48 – $1,320.20 8