Tc-99m mebrofenin cost in Wisconsin

TC-99M MEBROFENIN · HCPCS A9537

$109.44

lowest in Wisconsin

$157.50

state median

$726.33

highest in Wisconsin

$157.65

national median

Hospital City Cash price Negotiated range Payers
Ascension Calumet Hospital, Inc. Chilton $109.44 $187.21 – $187.21 2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $112.86 $187.21 – $187.21 2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $112.86 $187.21 – $187.21 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $121.00 $308.90 – $308.90 1
SSM Health Waupun Memorial Hospital Waupun $121.00 $308.90 – $308.90 1
SSM Health Ripon Community Hospital Ripon $121.00 $308.90 – $308.90 1
SSM Health St. Mary's Hospital - Madison Madison $143.55 not published 0
Aurora Baycare Medical Center Green Bay $157.50 $53.10 – $84.63 3
Aurora Medical Center Bay Area Marinette $157.50 $53.10 – $84.63 3
Aurora Medical Center Burlington Burlington $157.50 $53.10 – $84.63 3
Aurora Medical Center Grafton Grafton $157.50 $53.10 – $84.63 3
Aurora Medical Center Manitowoc Two Rivers $157.50 $53.10 – $84.63 3
Aurora Medical Center Kenosha Kenosha $157.50 $53.10 – $84.63 3
Aurora Medical Center Fond du Lac Fond Du Lac $157.50 $53.10 – $84.63 3
Aurora Medical Center Sheboygan County Sheboygan $157.50 $53.10 – $84.63 3
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $157.50 $53.10 – $84.63 3
Aurora Medical Center Summit Summit $157.50 $53.10 – $84.63 3
Aurora Medical Center Washington County Hartford $157.50 $53.10 – $84.63 3
Aurora West Allis Medical Center West Allis $157.50 $53.10 – $84.63 3
Ascension St. Francis Hospital, Inc. Milwaukee $207.76 $84.32 – $172.08 2
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $207.76 $84.32 – $172.08 2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $219.42 $81.98 – $187.21 7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $219.42 $81.98 – $187.21 7
SSM Health St. Clare Hospital - Baraboo Baraboo $224.40 not published 0
SSM Health St. Mary's Hospital - Janesville Janesville $225.50 not published 0
SSM Health Monroe Hospital Monroe $261.39 $308.90 – $308.90 1
UnityPoint Health - Meriter Hospital Madison $726.33 $59.74 – $524.14 14
Aurora Psychiatric Hospital Wauwatosa not published $53.10 – $84.63 3