Hepagam b im injection cost in Wisconsin

Hepagam b im injection · HCPCS J1571

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $71.39 – $179.52 5
SSM Health Monroe Hospital Monroe not published $65.15 – $177.38 6
UnityPoint Health - Meriter Hospital Madison not published $62.78 – $81.00 9
SSM Health St. Mary's Hospital - Madison Madison not published $49.21 – $136.16 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $49.21 – $136.16 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $49.21 – $136.16 5
SSM Health Waupun Memorial Hospital Waupun not published $71.39 – $179.52 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $49.21 – $179.52 8