I-123 iobenguane diag cost in Wisconsin
I-123 IOBENGUANE DIAG · HCPCS A9582
$2,691.70
lowest in Wisconsin
$4,578.67
state median
$4,648.35
highest in Wisconsin
$5,730.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $2,691.70 | $1,738.12 – $5,648.68 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | $2,691.70 | $5,648.68 – $5,648.68 | 1 |
| SSM Health Ripon Community Hospital | Ripon | $2,691.70 | $5,648.68 – $5,648.68 | 1 |
| Midwest Orthopedic Specialty Hospital | Franklin | $4,578.67 | $3,303.28 – $3,303.28 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $4,578.67 | $3,303.28 – $3,303.28 | 1 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $4,578.67 | $3,303.28 – $3,303.28 | 1 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $4,648.35 | $3,745.67 – $3,745.67 | 2 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $4,648.35 | $3,745.67 – $3,745.67 | 2 |
| SSM Health Monroe Hospital | Monroe | not published | $2,317.50 – $5,648.68 | 2 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $2,074.81 – $8,868.94 | 9 |