healthcosts.net

Levothyroxine 100 mcg intravenous powder for solution cost in Wisconsin

LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION · HCPCS J0650

$25.93

lowest in Wisconsin

$187.92

state median

$187.92

highest in Wisconsin

$420.60

national median

Hospital	City	Cash price	Negotiated range	Payers
UnityPoint Health - Meriter Hospital	Madison	$25.93	$7.45 – $27.55	11
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$187.92	$8.89 – $20.31	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$187.92	$8.89 – $20.31	6
Ascension St. Francis Hospital, Inc.	Milwaukee	$187.92	$6.63 – $16.44	6
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$187.92	$6.63 – $16.44	6
SSM Health Ripon Community Hospital	Ripon	not published	$5.84 – $14.67	5
SSM Health Monroe Hospital	Monroe	not published	$7.01 – $21.78	6
SSM Health St. Mary's Hospital - Madison	Madison	not published	$9.97 – $14.63	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$9.97 – $14.63	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$9.97 – $14.63	3
SSM Health Waupun Memorial Hospital	Waupun	not published	$5.84 – $14.67	5
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$5.84 – $14.67	5