Vaccine pneumonococcal conjugate 15 valent (pcv15) im cost in Wisconsin
HC Vaccine Pneumonococcal Conjugate 15 Valent (Pcv15) Im · CPT 90671
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $283.12 – $782.93 | 10 |
| SSM Health Ripon Community Hospital | Ripon | not published | $287.27 – $690.31 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $261.15 – $783.44 | 6 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $283.12 – $782.93 | 10 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $344.68 – $1,400.00 | 5 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $228.20 – $261.15 | 9 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $367.66 – $496.18 | 3 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $275.04 – $802.79 | 11 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $275.04 – $802.79 | 12 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $283.12 – $782.93 | 10 |
| Aurora West Allis Medical Center | West Allis | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Washington County | Hartford | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Summit | Summit | not published | $253.56 – $618.69 | 12 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $253.56 – $618.69 | 12 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Kenosha | Kenosha | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Grafton | Grafton | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Burlington | Burlington | not published | $253.56 – $618.69 | 12 |
| Aurora Medical Center Bay Area | Marinette | not published | $253.56 – $618.69 | 12 |
| Aurora Baycare Medical Center | Green Bay | not published | $253.56 – $618.69 | 12 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $378.67 – $496.18 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $378.67 – $496.18 | 3 |
| Ascension Calumet Hospital, Inc. | Chilton | not published | $344.68 – $1,400.00 | 5 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | not published | $344.68 – $1,400.00 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $287.27 – $690.31 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $287.27 – $690.31 | 4 |