Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr cost in Wisconsin
PHENYTOIN IN NS IV SYRINGE 5 MG/ML (NEO/PED) - CNR · HCPCS J1165
$1.68
lowest in Wisconsin
$1.71
state median
$45.08
highest in Wisconsin
$13.39
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1.68 | $0.58 – $1.43 | 10 |
| Ascension Calumet Hospital, Inc. | Chilton | $1.71 | $0.64 – $3.00 | 6 |
| Adventhealth Durand | Durand | $45.08 | not published | 0 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $0.50 – $0.81 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $0.51 – $1.29 | 5 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $0.72 – $1.25 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $0.75 – $1.25 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $0.75 – $1.25 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $0.51 – $1.29 | 5 |
| SSM Health Ripon Community Hospital | Ripon | not published | $0.51 – $1.29 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $0.52 – $1.57 | 6 |