Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution cost in Wisconsin
LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION · HCPCS J2002
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $0.01 – $0.03 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $0.01 – $0.03 | 5 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $0.01 – $0.02 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $0.01 – $0.02 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $0.01 – $0.02 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $0.01 – $0.03 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $0.01 – $0.03 | 4 |