healthcosts.net

Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug cost in Wisconsin

HC Injection Therapeutic/Prophylactic/Diagnostic Each Addl Sequential IV Push New Substance/Drug · CPT 96375

$117.42

lowest in Wisconsin

$148.93

state median

$213.40

highest in Wisconsin

$168.05

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$117.42	$16.34 – $93.16	12
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$117.42	$16.34 – $93.16	12
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$117.66	$25.09 – $98.82	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$117.66	$25.09 – $98.82	9
SSM Health St. Clare Hospital - Baraboo	Baraboo	$126.50	$34.11 – $45.48	2
UnityPoint Health - Meriter Hospital	Madison	$136.18	$13.56 – $58.17	14
SSM Health Monroe Hospital	Monroe	$143.55	$45.48 – $45.48	1
Midwest Orthopedic Specialty Hospital	Franklin	$148.93	$44.80 – $73.37	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$148.93	$44.80 – $73.37	4
Ascension St. Francis Hospital, Inc.	Milwaukee	$148.93	$44.80 – $73.37	4
SSM Health St. Mary's Hospital - Madison	Madison	$156.75	$34.11 – $45.48	2
SSM Health St. Mary's Hospital - Janesville	Janesville	$188.65	$35.37 – $47.17	2
Ascension Calumet Hospital, Inc.	Chilton	$189.24	$16.34 – $53.10	7
Adventhealth Durand	Durand	$199.17	not published	0
SSM Health Ripon Community Hospital	Ripon	$213.40	not published	0
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$213.40	$34.74 – $89.39	4
SSM Health Waupun Memorial Hospital	Waupun	$213.40	not published	0