Acute venous thrombus image cost in Wisconsin

Acute venous thrombus image · CPT 78456

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$924.84 – $924.84	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$943.15 – $2,261.32	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$978.03 – $2,155.34	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$943.15 – $3,003.34	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$924.84 – $2,471.46	4
SSM Health Ripon Community Hospital	Ripon	not published	$924.84 – $924.84	1
SSM Health Monroe Hospital	Monroe	not published	$752.12 – $1,257.53	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$166.53 – $2,938.37	2
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$166.53 – $2,938.37	2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$49.78 – $119.24	7
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$76.94 – $2,938.37	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$49.78 – $119.24	7
Ascension Calumet Hospital, Inc.	Chilton	not published	$49.78 – $119.24	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$76.94 – $2,938.37	7
Midwest Orthopedic Specialty Hospital	Franklin	not published	$166.53 – $2,938.37	2
UnityPoint Health - Meriter Hospital	Madison	not published	$43.50 – $1,260.99	10