Lyumjev for insulin pump use cost in Wisconsin

Lyumjev for insulin pump use · HCPCS J1813

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $16.76 – $42.14 5
SSM Health Monroe Hospital Monroe not published $15.33 – $45.98 6
UnityPoint Health - Meriter Hospital Madison not published $15.27 – $18.73 4
SSM Health St. Mary's Hospital - Madison Madison not published $22.23 – $29.02 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $22.23 – $29.02 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $22.23 – $29.02 3
SSM Health Waupun Memorial Hospital Waupun not published $16.76 – $42.14 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $16.76 – $42.14 5