Pcv21 vaccine im cost in Wisconsin

PCV21 VACCINE IM · CPT 90684

Hospital City Cash price Negotiated range Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee not published $403.31 – $1,067.23 7
SSM Health Ripon Community Hospital Ripon not published $360.68 – $892.68 4
SSM Health Monroe Hospital Monroe not published $327.89 – $983.68 6
Ascension St. Francis Hospital, Inc. Milwaukee not published $403.31 – $1,067.23 7
UnityPoint Health - Meriter Hospital Madison not published $293.51 – $327.89 8
SSM Health St. Mary's Hospital - Madison Madison not published $475.44 – $623.00 3
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $345.30 – $10,515.00 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $345.30 – $10,515.00 7
Midwest Orthopedic Specialty Hospital Franklin not published $403.31 – $1,067.23 7
SSM Health St. Mary's Hospital - Janesville Janesville not published $475.44 – $623.00 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $475.44 – $623.00 3
SSM Health Waupun Memorial Hospital Waupun not published $360.68 – $892.68 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $360.68 – $892.68 4