Tc-99m depreotide cost in Wisconsin

TC-99M DEPREOTIDE · HCPCS A9536

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $2,110.89 – $2,110.89 1
SSM Health Monroe Hospital Monroe not published $2,110.89 – $2,110.89 1
UnityPoint Health - Meriter Hospital Madison not published $1,400.00 – $1,400.00 1
Aurora West Allis Medical Center West Allis not published $988.68 – $1,120.00 2
Aurora Medical Center Washington County Hartford not published $988.68 – $1,120.00 2
Aurora Medical Center Summit Summit not published $988.68 – $1,120.00 2
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $988.68 – $1,120.00 2
Aurora Psychiatric Hospital Wauwatosa not published $988.68 – $1,120.00 2
Aurora Medical Center Sheboygan County Sheboygan not published $988.68 – $1,120.00 2
Aurora Medical Center Fond du Lac Fond Du Lac not published $988.68 – $1,120.00 2
Aurora Medical Center Kenosha Kenosha not published $988.68 – $1,120.00 2
Aurora Medical Center Manitowoc Two Rivers not published $988.68 – $1,120.00 2
Aurora Medical Center Grafton Grafton not published $988.68 – $1,120.00 2
Aurora Medical Center Burlington Burlington not published $988.68 – $1,120.00 2
Aurora Medical Center Bay Area Marinette not published $988.68 – $1,120.00 2
Aurora Baycare Medical Center Green Bay not published $988.68 – $1,120.00 2
SSM Health Waupun Memorial Hospital Waupun not published $2,110.89 – $2,110.89 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,110.89 – $2,110.89 1