Tc-99m pentetate dtpa cost in Wisconsin

TC-99M PENTETATE DTPA · HCPCS A9539

$142.45

lowest in Wisconsin

$175.00

state median

$770.01

highest in Wisconsin

$222.60

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Madison Madison $142.45 not published 0
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $171.00 $50.89 – $50.89 2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $171.00 $50.89 – $50.89 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $172.70 $68.69 – $68.69 1
SSM Health Waupun Memorial Hospital Waupun $172.70 $68.69 – $68.69 1
SSM Health Ripon Community Hospital Ripon $172.70 $68.69 – $68.69 1
Aurora Baycare Medical Center Green Bay $175.00 $0.01 – $47.94 3
Aurora Medical Center Bay Area Marinette $175.00 $0.01 – $47.94 3
Aurora Medical Center Burlington Burlington $175.00 $0.01 – $47.94 3
Aurora Medical Center Grafton Grafton $175.00 $0.01 – $47.94 3
Aurora Medical Center Manitowoc Two Rivers $175.00 $0.01 – $47.94 3
Aurora Medical Center Kenosha Kenosha $175.00 $0.01 – $47.94 3
Aurora Medical Center Fond du Lac Fond Du Lac $175.00 $0.01 – $47.94 3
Aurora Medical Center Sheboygan County Sheboygan $175.00 $0.01 – $47.94 3
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $175.00 $0.01 – $47.94 3
Aurora Medical Center Summit Summit $175.00 $0.01 – $47.94 3
Aurora Medical Center Washington County Hartford $175.00 $0.01 – $47.94 3
Aurora West Allis Medical Center West Allis $175.00 $0.01 – $47.94 3
SSM Health St. Clare Hospital - Baraboo Baraboo $224.40 not published 0
Ascension St. Francis Hospital, Inc. Milwaukee $316.94 $44.87 – $97.48 2
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $316.94 $44.87 – $97.48 2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $369.41 $41.63 – $97.48 7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $369.41 $41.63 – $97.48 7
UnityPoint Health - Meriter Hospital Madison $770.01 $37.60 – $818.13 11
SSM Health Monroe Hospital Monroe not published $75.74 – $75.74 1
Aurora Psychiatric Hospital Wauwatosa not published $0.01 – $47.94 3