Inj pegfilgrastim-bmez 0.5mg cost in Wisconsin

Inj pegfilgrastim-bmez 0.5mg · HCPCS Q5120

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $27.18 – $67.27 4
SSM Health Monroe Hospital Monroe not published $24.71 – $74.13 6
UnityPoint Health - Meriter Hospital Madison not published $27.99 – $284.73 9
SSM Health St. Mary's Hospital - Madison Madison not published $35.83 – $132.10 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $35.83 – $132.10 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $35.83 – $132.10 5
SSM Health Waupun Memorial Hospital Waupun not published $27.18 – $67.27 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $27.18 – $254.95 7