Inj, pemivibart, 4500 mg cost in Wisconsin

Inj, pemivibart, 4500 mg · HCPCS Q0224

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $7,241.85 – $17,923.59 4
SSM Health Monroe Hospital Monroe not published $6,583.50 – $19,750.50 6
UnityPoint Health - Meriter Hospital Madison not published $6,583.50 – $6,583.50 8
SSM Health St. Mary's Hospital - Madison Madison not published $9,546.08 – $13,754.10 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $9,546.08 – $13,754.10 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $9,546.08 – $13,754.10 3
SSM Health Waupun Memorial Hospital Waupun not published $7,241.85 – $17,923.59 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $7,241.85 – $17,923.59 4