Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) cost in Wisconsin

HYDROMORPHONE 0.2 MG/ML IN 0.9% NACL IV PCA OPIOID NAIVE - 4 HR DOSE LIMIT (WRAPPER) · HCPCS J1171

Hospital City Cash price Negotiated range Payers
SSM Health Waupun Memorial Hospital Waupun not published $0.09 – $0.25 5
SSM Health St. Mary's Hospital - Madison Madison not published $0.16 – $0.20 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $0.16 – $0.20 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $0.16 – $0.20 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $0.09 – $0.25 5
SSM Health Ripon Community Hospital Ripon not published $0.09 – $0.25 5
SSM Health Monroe Hospital Monroe not published $0.12 – $0.41 6