Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) cost in Wisconsin

HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Bl · CPT 23350

$152.90

lowest in Wisconsin

$403.15

state median

$1,300.09

highest in Wisconsin

$504.00

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Clare Hospital - Baraboo Baraboo $152.90 $1,676.00 – $1,676.00 1
SSM Health St. Mary's Hospital - Madison Madison $207.35 $2,036.00 – $2,036.00 1
SSM Health St. Mary's Hospital - Janesville Janesville $273.35 $1,704.00 – $1,704.00 1
SSM Health Monroe Hospital Monroe $331.65 $2,181.00 – $9,837.00 2
Midwest Orthopedic Specialty Hospital Franklin $341.32 $473.56 – $473.56 1
Ascension St. Francis Hospital, Inc. Milwaukee $341.32 $473.56 – $473.56 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $341.32 $473.56 – $473.56 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $403.15 $1,887.00 – $5,512.00 3
SSM Health Waupun Memorial Hospital Waupun $403.15 $1,887.00 – $5,512.00 3
SSM Health Ripon Community Hospital Ripon $403.15 $1,887.00 – $5,512.00 3
Ascension Calumet Hospital, Inc. Chilton $778.62 $51.72 – $557.96 7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $803.13 $51.72 – $557.96 7
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $803.13 $51.72 – $557.96 7
UnityPoint Health - Meriter Hospital Madison $1,156.80 $45.18 – $307.20 14
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $1,300.09 $80.21 – $610.04 6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $1,300.09 $80.21 – $610.04 6
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $949.00 – $16,897.00 6