Mayo gabapentin bld/srm/plasma therapeutic drug level cost in Wisconsin

HC Mayo Gabapentin Bld/Srm/Plasma Tda · CPT 80171

$29.70

lowest in Wisconsin

$119.25

state median

$185.15

highest in Wisconsin

$69.96

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Madison Madison $29.70 $16.25 – $107.83 5
SSM Health St. Clare Hospital - Baraboo Baraboo $31.35 $16.25 – $131.78 5
SSM Health St. Mary's Hospital - Janesville Janesville $41.25 $16.25 – $105.44 5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $49.59 $18.96 – $83.65 15
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $49.59 $18.96 – $83.65 15
Orthopaedic Hospital of Wisconsin, LLC Glendale $69.96 $18.73 – $23.03 5
Ascension Calumet Hospital, Inc. Chilton $73.53 $18.96 – $83.65 10
SSM Health Monroe Hospital Monroe $102.85 $21.67 – $37.92 4
Midwest Orthopedic Specialty Hospital Franklin $119.25 $21.67 – $59.03 17
Ascension St. Francis Hospital, Inc. Milwaukee $119.25 $21.67 – $59.03 17
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $119.25 $21.67 – $59.03 17
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $127.20 $21.67 – $67.82 16
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $127.20 $21.67 – $67.82 16
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $146.85 $16.25 – $41.82 7
SSM Health Waupun Memorial Hospital Waupun $146.85 $21.67 – $37.92 4
SSM Health Ripon Community Hospital Ripon $146.85 $21.67 – $37.92 4
UnityPoint Health - Meriter Hospital Madison $185.15 $13.00 – $72.21 14