In-111 autologous plt stdy dx cost in Wisconsin
IN-111 AUTOLOGOUS PLT STDY DX · HCPCS A9571
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Monroe Hospital | Monroe | not published | $12,648.54 – $12,648.54 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $4,799.35 – $7,012.48 | 2 |
| SSM Health Ripon Community Hospital | Ripon | not published | $11,632.29 – $11,632.29 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $11,632.29 – $11,632.29 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $11,632.29 – $11,632.29 | 1 |