Infect ag phenotype na hiv-1 1-10 drugs cost in Wisconsin
HC INFECT AG PHENOTYPE NA HIV-1 1-10 DRUGS · CPT 87903
$301.40
lowest in Wisconsin
$1,135.00
state median
$3,395.71
highest in Wisconsin
$954.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Mary's Hospital - Madison | Madison | $301.40 | $366.50 – $3,973.99 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $424.05 | $366.50 – $4,857.08 | 5 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $483.89 | $474.00 – $875.41 | 5 |
| Midwest Orthopedic Specialty Hospital | Franklin | $536.36 | $488.66 – $2,193.27 | 17 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $536.36 | $488.66 – $2,193.27 | 17 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $536.36 | $488.66 – $2,193.27 | 17 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $572.00 | $366.50 – $3,885.65 | 5 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $660.63 | $488.66 – $1,886.23 | 16 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $660.63 | $488.66 – $1,886.23 | 16 |
| Ascension Calumet Hospital, Inc. | Chilton | $974.70 | $513.09 – $1,886.23 | 11 |
| Aurora Baycare Medical Center | Green Bay | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Bay Area | Marinette | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Burlington | Burlington | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Grafton | Grafton | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Kenosha | Kenosha | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Sheboygan County | Sheboygan | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Summit | Summit | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Washington County | Hartford | $1,135.00 | $390.93 – $1,714.98 | 16 |
| Aurora West Allis Medical Center | West Allis | $1,135.00 | $390.93 – $1,714.98 | 16 |
| SSM Health Monroe Hospital | Monroe | $1,405.80 | $488.66 – $855.16 | 4 |
| UnityPoint Health - Meriter Hospital | Madison | $1,451.59 | $293.20 – $662.29 | 14 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $3,395.71 | $488.66 – $2,129.70 | 16 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $3,395.71 | $488.66 – $2,129.70 | 16 |
| SSM Health Ripon Community Hospital | Ripon | not published | $488.66 – $988.79 | 4 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $390.93 – $1,714.98 | 16 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $390.93 – $1,714.98 | 16 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $488.66 – $988.79 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $366.50 – $943.11 | 7 |