Inj, adstiladrin, per tx dos cost in Wisconsin

Inj, adstiladrin, per tx dos · HCPCS J9029

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $68,646.98 – $172,612.06 5
SSM Health Monroe Hospital Monroe not published $63,235.61 – $172,158.95 6
UnityPoint Health - Meriter Hospital Madison not published $63,431.05 – $63,431.05 8
SSM Health St. Mary's Hospital - Madison Madison not published $48,248.71 – $120,519.00 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $48,248.71 – $120,519.00 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $48,248.71 – $120,519.00 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $48,248.71 – $172,612.06 8
SSM Health Waupun Memorial Hospital Waupun not published $68,646.98 – $172,612.06 5