Iodine i-125 sodium iodide cost in Wisconsin

Iodine I-125 sodium iodide · HCPCS A9527

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $567.86 – $567.86 1
SSM Health Monroe Hospital Monroe not published $396.32 – $567.86 2
UnityPoint Health - Meriter Hospital Madison not published $208.58 – $347.26 9
SSM Health Waupun Memorial Hospital Waupun not published $567.86 – $567.86 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $297.24 – $764.90 5