Aqmbf pet rest & rx stress cost in Wisconsin

AQMBF PET REST & RX STRESS · CPT 78434

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$106.43 – $106.43	1
SSM Health Ripon Community Hospital	Ripon	not published	$634.81 – $634.81	1
SSM Health Monroe Hospital	Monroe	not published	$493.46 – $493.46	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$106.43 – $106.43	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$0.02 – $30.87	6
UnityPoint Health - Meriter Hospital	Madison	not published	$0.02 – $89.67	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1,506.69 – $1,506.69	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$0.03 – $103.35	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$0.03 – $103.35	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$106.43 – $106.43	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,436.02 – $1,436.02	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$2,001.13 – $2,001.13	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$0.02 – $30.87	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$0.02 – $30.87	6
SSM Health Waupun Memorial Hospital	Waupun	not published	$634.81 – $634.81	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$634.81 – $634.81	1