Tc-99m pentetate dtpa aerosol cost in Wisconsin

TC-99M PENTETATE DTPA AEROSOL · HCPCS A9567

$114.98

lowest in Wisconsin

$160.59

state median

$389.11

highest in Wisconsin

$190.80

national median

Hospital City Cash price Negotiated range Payers
Aurora Medical Center Kenosha Kenosha $114.98 $25.98 – $25.98 1
Aurora Baycare Medical Center Green Bay $115.00 $25.98 – $25.98 1
Aurora Medical Center Bay Area Marinette $115.00 $25.98 – $25.98 1
Aurora Medical Center Burlington Burlington $115.00 $25.98 – $25.98 1
Aurora Medical Center Grafton Grafton $115.00 $25.98 – $25.98 1
Aurora Medical Center Manitowoc Two Rivers $115.00 $25.98 – $25.98 1
Aurora Medical Center Sheboygan County Sheboygan $115.00 $25.98 – $25.98 1
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $115.00 $25.98 – $25.98 1
Aurora Medical Center Washington County Hartford $115.00 $25.98 – $25.98 1
Aurora West Allis Medical Center West Allis $115.00 $25.98 – $25.98 1
SSM Health Monroe Hospital Monroe $130.50 $55.49 – $55.49 1
Midwest Orthopedic Specialty Hospital Franklin $160.59 $31.07 – $52.83 2
Ascension St. Francis Hospital, Inc. Milwaukee $160.59 $31.07 – $52.83 2
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $160.59 $31.07 – $52.83 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $173.80 $55.49 – $55.49 1
SSM Health Waupun Memorial Hospital Waupun $173.80 $55.49 – $55.49 1
SSM Health Ripon Community Hospital Ripon $173.80 $55.49 – $55.49 1
SSM Health St. Mary's Hospital - Janesville Janesville $175.45 not published 0
SSM Health St. Mary's Hospital - Madison Madison $175.45 not published 0
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $180.20 $27.26 – $53.99 7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $180.20 $27.26 – $53.99 7
SSM Health St. Clare Hospital - Baraboo Baraboo $224.40 not published 0
Ascension Calumet Hospital, Inc. Chilton $226.86 $35.23 – $35.23 2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $232.56 $35.23 – $35.23 2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $232.56 $35.23 – $35.23 2
UnityPoint Health - Meriter Hospital Madison $389.11 $20.97 – $413.42 11
Aurora Medical Center Summit Summit not published $25.98 – $25.98 1
Aurora Psychiatric Hospital Wauwatosa not published $25.98 – $25.98 1
Aurora Medical Center Fond du Lac Fond Du Lac not published $25.98 – $25.98 1