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Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im cost in Wisconsin

HC Vaccine Meningococcal Serogroups a/C/W/Y Quadrivalent Diphtheria Toxoid(Menacwy-D/Menacwy-CRM) Im · CPT 90734

$133.38

lowest in Wisconsin

$296.03

state median

$325.41

highest in Wisconsin

$408.70

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Calumet Hospital, Inc.	Chilton	$133.38	$178.19 – $178.19	2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$137.80	$188.82 – $507.25	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$278.89	$188.82 – $507.25	9
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$296.03	$306.16 – $537.50	3
Ascension St. Francis Hospital, Inc.	Milwaukee	$304.41	$306.16 – $537.50	3
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$318.37	$294.28 – $294.28	2
UnityPoint Health - Meriter Hospital	Madison	$321.80	$45.31 – $167.45	11
Adventhealth Durand	Durand	$325.41	not published	0
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$294.28 – $294.28	2
Midwest Orthopedic Specialty Hospital	Franklin	not published	$306.16 – $537.50	3
SSM Health Waupun Memorial Hospital	Waupun	not published	$494.92 – $494.92	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$494.92 – $494.92	1
SSM Health Ripon Community Hospital	Ripon	not published	$494.92 – $494.92	1
SSM Health Monroe Hospital	Monroe	not published	$505.16 – $505.16	1
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$111.98 – $111.98	1