Palifermin injection cost in Wisconsin

Palifermin injection · HCPCS J2425

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $36.80 – $92.53 5
SSM Health Monroe Hospital Monroe not published $33.99 – $92.53 6
UnityPoint Health - Meriter Hospital Madison not published $25.36 – $35.91 9
SSM Health St. Mary's Hospital - Madison Madison not published $29.02 – $68.24 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $29.02 – $68.24 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $29.02 – $68.24 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $29.02 – $92.53 8
SSM Health Waupun Memorial Hospital Waupun not published $36.80 – $92.53 5