Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe cost in Wisconsin

PEGFILGRASTIM-FPGK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE · HCPCS Q5127

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $276.38 – $812.15 4
SSM Health Monroe Hospital Monroe not published $143.67 – $684.02 6
UnityPoint Health - Meriter Hospital Madison not published $229.11 – $361.84 9
SSM Health St. Mary's Hospital - Madison Madison not published $107.75 – $551.87 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $107.75 – $551.87 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $107.75 – $551.87 5
SSM Health Waupun Memorial Hospital Waupun not published $276.38 – $812.15 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $107.75 – $812.15 7