I131 iodide cap, rx cost in Wisconsin

I131 iodide cap, rx · HCPCS A9517

$28.60

lowest in Wisconsin

$66.12

state median

$333.19

highest in Wisconsin

$91.83

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Madison Madison $28.60 not published 0
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $50.05 $18.05 – $62.96 5
SSM Health Waupun Memorial Hospital Waupun $50.05 $62.96 – $62.96 1
SSM Health Ripon Community Hospital Ripon $50.05 $62.96 – $62.96 1
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $66.12 $39.15 – $39.15 2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $66.12 $39.15 – $39.15 2
UnityPoint Health - Meriter Hospital Madison $128.89 $23.13 – $58.00 14
Ascension St. Francis Hospital, Inc. Milwaukee $134.09 $88.75 – $203.80 2
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $134.09 $88.75 – $203.80 2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $155.82 $35.21 – $170.56 7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $155.82 $35.21 – $170.56 7
SSM Health Monroe Hospital Monroe $333.19 $24.07 – $62.96 2