Nelarabine injection cost in Wisconsin

Nelarabine injection · HCPCS J9261

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $69.50 – $203.53 5
SSM Health Monroe Hospital Monroe not published $63.18 – $172.01 6
UnityPoint Health - Meriter Hospital Madison not published $63.38 – $190.75 9
SSM Health St. Mary's Hospital - Madison Madison not published $49.06 – $138.31 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $49.06 – $138.31 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $49.06 – $138.31 5
SSM Health Waupun Memorial Hospital Waupun not published $69.50 – $203.53 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $49.06 – $203.53 8