Nitrogen n-13 ammonia cost in Wisconsin

Nitrogen n-13 ammonia · HCPCS A9526

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $2,002.56 – $2,002.56 1
SSM Health Monroe Hospital Monroe not published $2,002.56 – $2,002.56 1
UnityPoint Health - Meriter Hospital Madison not published $85.80 – $245.95 2
SSM Health Waupun Memorial Hospital Waupun not published $2,002.56 – $2,002.56 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,002.56 – $2,002.56 1