Inj. acthar gel to 40 units cost in Wisconsin
Inj. acthar gel to 40 units · HCPCS J0801
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $4,144.48 – $10,421.27 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $3,893.43 – $10,599.86 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $3,479.53 – $4,912.30 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $3,100.09 – $7,956.11 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $3,100.09 – $7,956.11 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $3,100.09 – $7,956.11 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $4,144.48 – $10,421.27 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $3,100.09 – $10,421.27 | 8 |