Brain image 4+ views cost in Wisconsin

Brain image 4+ views · CPT 78605

Hospital	City	Cash price	Negotiated range	Payers
SSM Health Waupun Memorial Hospital	Waupun	not published	$596.21 – $596.21	1
SSM Health St. Mary's Hospital - Madison	Madison	not published	$395.55 – $1,457.78	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$410.18 – $1,389.44	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$395.55 – $1,936.10	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$402.79 – $1,036.52	4
SSM Health Ripon Community Hospital	Ripon	not published	$596.21 – $596.21	1
SSM Health Monroe Hospital	Monroe	not published	$475.60 – $527.40	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$91.22 – $1,101.15	5
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$91.22 – $1,101.15	5
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$26.91 – $1,086.69	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$41.65 – $1,152.80	10
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$26.91 – $1,086.69	12
Ascension Calumet Hospital, Inc.	Chilton	not published	$26.91 – $65.00	7
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$41.65 – $1,152.80	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$91.22 – $1,101.15	5
UnityPoint Health - Meriter Hospital	Madison	not published	$23.35 – $519.93	10