Gastric mucosa imaging cost in Wisconsin

Gastric mucosa imaging · CPT 78261

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$116.40 – $848.52	5
SSM Health Ripon Community Hospital	Ripon	not published	$741.17 – $741.17	1
SSM Health Monroe Hospital	Monroe	not published	$388.31 – $603.12	2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$29.77 – $811.23	12
UnityPoint Health - Meriter Hospital	Madison	not published	$25.83 – $388.14	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$45.95 – $860.57	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$291.23 – $1,812.21	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$45.95 – $860.57	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$116.40 – $848.52	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$302.00 – $1,727.27	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$291.23 – $2,406.84	3
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$116.40 – $848.52	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$29.77 – $78.71	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$29.77 – $811.23	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$741.17 – $741.17	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$296.56 – $763.16	4