Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) cost in Wisconsin

TENECTEPLASE 5 MG/ML INTRAVENOUS SOLUTION FOR ISCHEMIC STROKE (50 MG VIAL) · HCPCS J3101

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $175.87 – $442.22 5
SSM Health Monroe Hospital Monroe not published $162.46 – $442.30 6
SSM Health St. Mary's Hospital - Madison Madison not published $163.07 – $326.68 5
Aurora Psychiatric Hospital Wauwatosa not published $157.72 – $396.33 13
SSM Health St. Mary's Hospital - Janesville Janesville not published $163.07 – $326.68 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $163.07 – $326.68 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $163.07 – $442.22 8
SSM Health Waupun Memorial Hospital Waupun not published $175.87 – $442.22 5