Inj thiotepa nos 1 mg cost in Wisconsin

Inj thiotepa nos 1 mg · HCPCS J9342

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $23.25 – $23.25 1
SSM Health St. Mary's Hospital - Madison Madison not published $3.70 – $23.25 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $3.70 – $23.25 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $3.70 – $23.25 3
SSM Health Waupun Memorial Hospital Waupun not published $23.25 – $23.25 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $3.70 – $23.25 5