Sirolimus-protein bound 100 mg intravenous suspension cost in Wisconsin
SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION · HCPCS J9331
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $127.17 – $319.75 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $91.03 – $320.25 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $84.53 – $121.00 | 9 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $68.27 – $217.28 | 5 |
| Aurora West Allis Medical Center | West Allis | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Washington County | Hartford | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Summit | Summit | not published | $114.21 – $286.58 | 12 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Kenosha | Kenosha | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Grafton | Grafton | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Burlington | Burlington | not published | $114.21 – $286.58 | 12 |
| Aurora Medical Center Bay Area | Marinette | not published | $114.21 – $286.58 | 12 |
| Aurora Baycare Medical Center | Green Bay | not published | $114.21 – $286.58 | 12 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $68.27 – $217.28 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $68.27 – $217.28 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $127.17 – $319.75 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $68.27 – $319.75 | 8 |