In-111 satumomab pend cost in Wisconsin

IN-111 SATUMOMAB PEND · HCPCS A4642

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $4,419.90 – $4,419.90 1
SSM Health Monroe Hospital Monroe not published $4,419.90 – $4,419.90 1
UnityPoint Health - Meriter Hospital Madison not published $1,675.00 – $2,113.40 2
SSM Health Waupun Memorial Hospital Waupun not published $4,419.90 – $4,419.90 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $4,419.90 – $4,419.90 1