Tc-99m disofenin cost in Wisconsin
TC-99M DISOFENIN · HCPCS A9510
$231.00
lowest in Wisconsin
$231.00
state median
$382.50
highest in Wisconsin
$124.32
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $231.00 | not published | 0 |
| Aurora Medical Center Bay Area | Marinette | $382.50 | $0.01 – $107.10 | 3 |
| SSM Health Ripon Community Hospital | Ripon | not published | $162.92 – $162.92 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $162.92 – $162.92 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $51.00 – $65.79 | 9 |
| Aurora West Allis Medical Center | West Allis | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Washington County | Hartford | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Summit | Summit | not published | $0.01 – $107.10 | 3 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $0.01 – $107.10 | 3 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Kenosha | Kenosha | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Grafton | Grafton | not published | $0.01 – $107.10 | 3 |
| Aurora Medical Center Burlington | Burlington | not published | $0.01 – $107.10 | 3 |
| Aurora Baycare Medical Center | Green Bay | not published | $0.01 – $107.10 | 3 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $162.92 – $162.92 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $162.92 – $162.92 | 1 |