Rh ig minidose im cost in Wisconsin

RH IG MINIDOSE IM · CPT 90385

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$99.43 – $176.83	3
SSM Health Ripon Community Hospital	Ripon	not published	$164.06 – $164.06	1
SSM Health Monroe Hospital	Monroe	not published	$80.00 – $164.06	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$99.43 – $176.83	3
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$99.23 – $99.23	2
UnityPoint Health - Meriter Hospital	Madison	not published	$34.74 – $49.92	2
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$36.89 – $171.63	9
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$36.89 – $171.63	9
Midwest Orthopedic Specialty Hospital	Franklin	not published	$99.43 – $176.83	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$99.23 – $99.23	2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$99.23 – $99.23	2
SSM Health Waupun Memorial Hospital	Waupun	not published	$164.06 – $164.06	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$60.00 – $164.06	5