Instill pharm renal pelvis cost in Wisconsin

Instill pharm renal pelvis · HCPCS C9789

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $3,388.00 – $7,791.00 2
SSM Health Monroe Hospital Monroe not published $1,188.90 – $4,743.00 2
UnityPoint Health - Meriter Hospital Madison not published $2,173.80 – $5,028.00 8
SSM Health St. Mary's Hospital - Madison Madison not published $891.68 – $4,982.00 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $924.65 – $4,321.00 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $891.68 – $4,867.00 3
SSM Health Waupun Memorial Hospital Waupun not published $3,388.00 – $7,791.00 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $907.99 – $7,791.00 5