Pemetrexed disodium 100 mg intravenous powder for solution cost in Wisconsin

PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION · HCPCS J9305

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $4.15 – $14.36 5
SSM Health Monroe Hospital Monroe not published $3.77 – $10.26 6
UnityPoint Health - Meriter Hospital Madison not published $3.73 – $85.68 9
SSM Health St. Mary's Hospital - Madison Madison not published $5.21 – $9.75 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $5.21 – $9.75 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $5.21 – $9.75 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $4.15 – $14.36 8
SSM Health Waupun Memorial Hospital Waupun not published $4.15 – $14.36 5