Brain image < 4 views cost in Wisconsin

Brain image < 4 views · CPT 78600

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$561.74 – $561.74	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$291.23 – $1,373.53	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$302.00 – $1,309.14	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$291.23 – $1,824.19	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$296.56 – $763.16	4
SSM Health Ripon Community Hospital	Ripon	not published	$561.74 – $561.74	1
SSM Health Monroe Hospital	Monroe	not published	$388.31 – $447.99	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$75.38 – $848.52	5
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$75.38 – $848.52	5
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$22.00 – $811.23	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$33.91 – $860.57	10
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$22.00 – $811.23	12
Ascension Calumet Hospital, Inc.	Chilton	not published	$22.00 – $53.54	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$33.91 – $860.57	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$75.38 – $848.52	5
UnityPoint Health - Meriter Hospital	Madison	not published	$19.09 – $388.14	10