Repriza, 1cm cost in Wisconsin

Repriza, 1cm · HCPCS Q4143

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $37.31 – $64.45 2
SSM Health Monroe Hospital Monroe not published $33.92 – $101.76 5
UnityPoint Health - Meriter Hospital Madison not published $30.87 – $33.92 4
SSM Health St. Mary's Hospital - Madison Madison not published $49.18 – $120.88 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $49.18 – $125.35 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $49.18 – $120.88 4
SSM Health Waupun Memorial Hospital Waupun not published $37.31 – $64.45 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $37.31 – $237.56 5