Inf lwr xtr fscl pln blk uni w/wo image cost in Wisconsin
HC INF LWR XTR FSCL PLN BLK UNI W/WO IMAGE · CPT 64474
$1,205.60
lowest in Wisconsin
$1,205.60
state median
$1,205.60
highest in Wisconsin
$780.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $1,205.60 | $66.88 – $223.38 | 12 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $776.40 – $776.40 | 1 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $776.40 – $776.40 | 1 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $949.81 – $949.81 | 1 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $949.81 – $949.81 | 1 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $776.40 – $776.40 | 1 |