Sarscov2 vac 5mcg/0.5ml im cost in Wisconsin

SARSCOV2 VAC 5MCG/0.5ML IM · CPT 91304

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$0.01 – $484.04	8
SSM Health Ripon Community Hospital	Ripon	not published	$0.01 – $439.79	4
SSM Health Monroe Hospital	Monroe	not published	$0.01 – $484.61	6
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$0.01 – $484.04	8
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$0.02 – $229.71	4
UnityPoint Health - Meriter Hospital	Madison	not published	$0.01 – $161.54	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$0.01 – $306.92	3
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$0.01 – $444.08	11
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$0.01 – $444.08	12
Midwest Orthopedic Specialty Hospital	Franklin	not published	$0.01 – $484.04	8
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$0.01 – $306.92	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$0.01 – $306.92	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$0.02 – $229.71	4
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$0.02 – $229.71	4
SSM Health Waupun Memorial Hospital	Waupun	not published	$0.01 – $439.79	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$0.01 – $439.79	4