Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln cost in Wisconsin

GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN · HCPCS J9203

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $252.41 – $634.67 5
SSM Health Monroe Hospital Monroe not published $233.12 – $634.67 6
UnityPoint Health - Meriter Hospital Madison not published $216.05 – $236.62 9
SSM Health St. Mary's Hospital - Madison Madison not published $185.53 – $449.57 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $185.53 – $449.57 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $185.53 – $449.57 5
SSM Health Waupun Memorial Hospital Waupun not published $252.41 – $634.67 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $185.53 – $634.67 8