Inj recombin esperoct per iu cost in Wisconsin

Inj recombin esperoct per iu · HCPCS J7204

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $2.35 – $5.96 5
SSM Health Monroe Hospital Monroe not published $2.14 – $5.82 6
UnityPoint Health - Meriter Hospital Madison not published $2.17 – $2.26 9
SSM Health St. Mary's Hospital - Madison Madison not published $1.72 – $4.30 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $1.72 – $4.30 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1.72 – $4.30 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1.72 – $5.96 8
SSM Health Waupun Memorial Hospital Waupun not published $2.35 – $5.96 5