Inj melpha hydroch nos 50 mg cost in Wisconsin

Inj melpha hydroch nos 50 mg · HCPCS J9245

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $144.76 – $363.97 5
SSM Health Monroe Hospital Monroe not published $104.90 – $427.71 6
UnityPoint Health - Meriter Hospital Madison not published $108.03 – $874.19 9
SSM Health St. Mary's Hospital - Madison Madison not published $78.67 – $247.33 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $78.67 – $247.33 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $78.67 – $247.33 5
SSM Health Waupun Memorial Hospital Waupun not published $144.76 – $363.97 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $78.67 – $363.97 8