Hemin 350 mg intravenous powder for solution cost in Wisconsin

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION · HCPCS J1640

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $35.86 – $90.17 5
SSM Health Monroe Hospital Monroe not published $33.07 – $90.04 6
UnityPoint Health - Meriter Hospital Madison not published $28.86 – $34.17 9
SSM Health St. Mary's Hospital - Madison Madison not published $26.87 – $64.91 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $26.87 – $64.91 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $26.87 – $64.91 5
SSM Health Waupun Memorial Hospital Waupun not published $35.86 – $90.17 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $26.87 – $90.17 8