Inj, levothyroxine, hikma cost in Wisconsin

Inj, levothyroxine, hikma · HCPCS J0652

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $5.56 – $13.99 5
SSM Health Monroe Hospital Monroe not published $5.14 – $15.41 6
UnityPoint Health - Meriter Hospital Madison not published $5.14 – $5.14 8
SSM Health St. Mary's Hospital - Madison Madison not published $7.45 – $9.76 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $7.45 – $9.76 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $7.45 – $9.76 3
SSM Health Waupun Memorial Hospital Waupun not published $5.56 – $13.99 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $5.56 – $13.99 5