Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution cost in Wisconsin

SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION · HCPCS J2865

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $0.07 – $0.10 2
SSM Health Monroe Hospital Monroe not published $0.06 – $0.17 5
SSM Health St. Mary's Hospital - Madison Madison not published $0.09 – $0.10 2
Aurora West Allis Medical Center West Allis not published $0.06 – $0.06 1
Aurora Medical Center Washington County Hartford not published $0.06 – $0.06 1
Aurora Medical Center Summit Summit not published $0.06 – $0.06 1
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $0.06 – $0.06 1
Aurora Psychiatric Hospital Wauwatosa not published $0.06 – $0.06 1
Aurora Medical Center Sheboygan County Sheboygan not published $0.06 – $0.06 1
Aurora Medical Center Fond du Lac Fond Du Lac not published $0.06 – $0.06 1
Aurora Medical Center Kenosha Kenosha not published $0.06 – $0.06 1
Aurora Medical Center Manitowoc Two Rivers not published $0.06 – $0.06 1
Aurora Medical Center Grafton Grafton not published $0.06 – $0.06 1
Aurora Medical Center Burlington Burlington not published $0.06 – $0.06 1
Aurora Baycare Medical Center Green Bay not published $0.06 – $0.06 1
Aurora Medical Center Bay Area Marinette not published $0.06 – $0.06 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $0.09 – $0.10 2
SSM Health St. Clare Hospital - Baraboo Baraboo not published $0.09 – $0.10 2
SSM Health Waupun Memorial Hospital Waupun not published $0.07 – $0.10 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $0.07 – $0.10 2