healthcosts.net

I-123 sod iodide diag per 100 uci cost in Wisconsin

I-123 SOD IODIDE DIAG PER 100 UCI · HCPCS A9516

$64.90

lowest in Wisconsin

$114.40

state median

$312.74

highest in Wisconsin

$158.05

national median

Hospital	City	Cash price	Negotiated range	Payers
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$64.90	$303.83 – $303.83	1
SSM Health Waupun Memorial Hospital	Waupun	$64.90	$303.83 – $303.83	1
SSM Health Ripon Community Hospital	Ripon	$64.90	$303.83 – $303.83	1
SSM Health St. Mary's Hospital - Madison	Madison	$78.10	not published	0
Ascension Calumet Hospital, Inc.	Chilton	$106.02	$132.39 – $132.39	2
SSM Health St. Clare Hospital - Baraboo	Baraboo	$113.85	not published	0
SSM Health St. Mary's Hospital - Janesville	Janesville	$114.40	not published	0
SSM Health Monroe Hospital	Monroe	$147.46	$303.83 – $303.83	1
Ascension St. Francis Hospital, Inc.	Milwaukee	$199.81	$173.08 – $298.14	2
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$199.81	$173.08 – $298.14	2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$232.67	$142.03 – $298.14	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$232.67	$142.03 – $298.14	7
UnityPoint Health - Meriter Hospital	Madison	$312.74	$89.91 – $225.68	14