Iloprost non-comp unit dose cost in Wisconsin

Iloprost non-comp unit dose · HCPCS Q4074

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $163.64 – $403.59 4
SSM Health Monroe Hospital Monroe not published $148.76 – $446.29 6
UnityPoint Health - Meriter Hospital Madison not published $147.17 – $177.79 4
SSM Health St. Mary's Hospital - Madison Madison not published $213.39 – $301.94 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $215.70 – $301.94 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $215.70 – $301.94 3
SSM Health Waupun Memorial Hospital Waupun not published $163.64 – $403.59 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $163.64 – $403.59 4