Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites cost in Wisconsin

HC Warde Antiepileptics Nos Definitive Assay 1-3 Clobazam W Metabolites · CPT 80339

$14.84

lowest in Wisconsin

$170.00

state median

$358.60

highest in Wisconsin

$126.43

national median

Hospital	City	Cash price	Negotiated range	Payers
Orthopaedic Hospital of Wisconsin, LLC	Glendale	$14.84	$22.26 – $25.66	4
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$76.38	$27.51 – $31.67	3
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$76.38	$27.51 – $31.67	3
Ascension Calumet Hospital, Inc.	Chilton	$112.86	$27.51 – $31.67	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$122.96	$29.47 – $79.09	8
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$122.96	$29.47 – $79.09	8
SSM Health Monroe Hospital	Monroe	$131.45	$27.15 – $27.15	1
UnityPoint Health - Meriter Hospital	Madison	$156.00	$13.77 – $165.75	10
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$156.20	$35.06 – $35.06	1
SSM Health Waupun Memorial Hospital	Waupun	$156.20	$35.06 – $35.06	1
SSM Health Ripon Community Hospital	Ripon	$156.20	$35.06 – $35.06	1
Aurora Baycare Medical Center	Green Bay	$170.00	$19.34 – $19.34	1
Aurora Medical Center Bay Area	Marinette	$170.00	$19.34 – $19.34	1
Aurora Medical Center Burlington	Burlington	$170.00	$19.34 – $19.34	1
Aurora Medical Center Grafton	Grafton	$170.00	$19.34 – $19.34	1
Aurora Medical Center Manitowoc	Two Rivers	$170.00	$19.34 – $19.34	1
Aurora Medical Center Kenosha	Kenosha	$170.00	$19.34 – $19.34	1
Aurora Medical Center Fond du Lac	Fond Du Lac	$170.00	$19.34 – $19.34	1
Aurora Medical Center Sheboygan County	Sheboygan	$170.00	$19.34 – $19.34	1
Aurora Sinai Medical Center of Aurora Health Care Metro	Milwaukee	$170.00	$19.34 – $19.34	1
Aurora Medical Center Summit	Summit	$170.00	$19.34 – $19.34	1
Aurora Medical Center Washington County	Hartford	$170.00	$19.34 – $19.34	1
Aurora West Allis Medical Center	West Allis	$170.00	$19.34 – $19.34	1
Midwest Orthopedic Specialty Hospital	Franklin	$171.19	$29.47 – $81.45	6
Ascension St. Francis Hospital, Inc.	Milwaukee	$171.19	$29.47 – $81.45	6
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$171.19	$29.47 – $81.45	6
SSM Health St. Mary's Hospital - Madison	Madison	$256.85	$140.94 – $140.94	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	$267.85	$172.28 – $172.28	1
SSM Health St. Mary's Hospital - Janesville	Janesville	$358.60	$137.83 – $137.83	1
Aurora Psychiatric Hospital	Wauwatosa	not published	$19.34 – $19.34	1