Pentostatin 10 mg intravenous solution cost in Wisconsin
PENTOSTATIN 10 MG INTRAVENOUS SOLUTION · HCPCS J9268
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $2,940.77 – $7,439.31 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $2,673.43 – $7,278.41 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $2,487.88 – $2,543.89 | 9 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,023.49 – $5,055.18 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,023.49 – $5,055.18 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,023.49 – $5,055.18 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $2,940.77 – $7,439.31 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $2,023.49 – $7,439.31 | 8 |