healthcosts.net

Mayo sirolimus therapeutic drug level cost in Wisconsin

HC Mayo Sirolimus Tda · CPT 80195

$22.00

lowest in Wisconsin

$65.55

state median

$242.32

highest in Wisconsin

$88.80

national median

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Monroe Hospital	Monroe	$22.00	$13.73 – $24.03	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$25.85	$10.30 – $26.50	7
SSM Health Waupun Memorial Hospital	Waupun	$25.85	$13.73 – $27.79	4
SSM Health Ripon Community Hospital	Ripon	$25.85	$13.73 – $27.79	4
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$44.46	$13.73 – $53.00	16
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$44.46	$13.73 – $53.00	16
SSM Health St. Mary's Hospital - Janesville	Janesville	$65.45	$10.30 – $109.21	5
Ascension Calumet Hospital, Inc.	Chilton	$65.55	$14.42 – $53.00	11
SSM Health St. Mary's Hospital - Madison	Madison	$67.10	$10.30 – $111.72	5
Midwest Orthopedic Specialty Hospital	Franklin	$69.96	$13.73 – $61.38	17
Ascension St. Francis Hospital, Inc.	Milwaukee	$69.96	$13.73 – $61.38	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$69.96	$13.73 – $61.38	17
SSM Health St. Clare Hospital - Baraboo	Baraboo	$78.10	$10.30 – $136.53	5
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$113.95	$13.73 – $59.60	16
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$113.95	$13.73 – $59.60	16
UnityPoint Health - Meriter Hospital	Madison	$242.32	$8.24 – $94.50	14
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$13.32 – $24.59	5