Fmri brain by phys/psych cost in Wisconsin

Fmri brain by phys/psych · CPT 70555

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$234.71 – $836.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$2,046.23 – $2,046.23	1
SSM Health Monroe Hospital	Monroe	not published	$231.76 – $1,692.83	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$234.71 – $836.00	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$126.15 – $488.00	12
UnityPoint Health - Meriter Hospital	Madison	not published	$110.17 – $364.66	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$196.66 – $517.79	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$173.82 – $5,003.24	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$196.66 – $517.79	10
Ascension Calumet Hospital, Inc.	Chilton	not published	$126.15 – $308.64	7
Midwest Orthopedic Specialty Hospital	Franklin	not published	$234.71 – $836.00	6
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$180.25 – $4,768.69	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$173.82 – $6,644.89	3
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$126.15 – $488.00	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$2,046.23 – $2,046.23	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$177.00 – $455.49	4