Naltrexone, depot form cost in Wisconsin
Naltrexone, depot form · HCPCS J2315
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $4.46 – $11.22 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $4.12 – $11.22 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $3.39 – $8.05 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $3.39 – $8.05 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $3.39 – $8.05 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $4.46 – $11.22 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $3.39 – $11.22 | 8 |