Ophthalmic mitomycin cost in Wisconsin

Ophthalmic mitomycin · HCPCS J7315

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $435.87 – $442.90 2
Aurora West Allis Medical Center West Allis not published $412.80 – $657.90 3
Aurora Medical Center Washington County Hartford not published $412.80 – $657.90 3
Aurora Medical Center Summit Summit not published $412.80 – $657.90 3
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $412.80 – $657.90 3
Aurora Psychiatric Hospital Wauwatosa not published $412.80 – $657.90 3
Aurora Medical Center Sheboygan County Sheboygan not published $412.80 – $657.90 3
Aurora Medical Center Fond du Lac Fond Du Lac not published $412.80 – $657.90 3
Aurora Medical Center Kenosha Kenosha not published $412.80 – $657.90 3
Aurora Medical Center Manitowoc Two Rivers not published $412.80 – $657.90 3
Aurora Medical Center Grafton Grafton not published $412.80 – $657.90 3
Aurora Medical Center Burlington Burlington not published $412.80 – $657.90 3
Aurora Medical Center Bay Area Marinette not published $412.80 – $657.90 3
Aurora Baycare Medical Center Green Bay not published $412.80 – $657.90 3