Inj sulf hexa lipid microsph cost in Wisconsin

Inj sulf hexa lipid microsph · HCPCS Q9950

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $20.59 – $50.85 4
SSM Health Monroe Hospital Monroe not published $18.72 – $56.17 6
UnityPoint Health - Meriter Hospital Madison not published $18.59 – $25.03 4
SSM Health St. Mary's Hospital - Madison Madison not published $27.14 – $35.32 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $27.14 – $35.32 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $27.14 – $35.32 3
SSM Health Waupun Memorial Hospital Waupun not published $20.59 – $50.85 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $20.59 – $50.85 4