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Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) cost in Wisconsin

HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl · CPT 64483

$836.76

lowest in Wisconsin

$1,539.12

state median

$6,167.70

highest in Wisconsin

$2,251.00

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Calumet Hospital, Inc.	Chilton	$836.76	$117.30 – $862.20	7
Midwest Orthopedic Specialty Hospital	Franklin	$930.68	$805.87 – $1,210.29	4
Ascension St. Francis Hospital, Inc.	Milwaukee	$930.68	$805.87 – $1,210.29	4
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$930.68	$805.87 – $1,210.29	4
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$1,337.22	$117.30 – $1,797.37	12
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$1,337.22	$117.30 – $1,797.37	12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$1,539.12	$177.84 – $1,906.70	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$1,539.12	$177.84 – $1,906.70	9
SSM Health Monroe Hospital	Monroe	$2,906.20	$859.12 – $4,217.00	3
SSM Health St. Mary's Hospital - Janesville	Janesville	$3,626.70	$668.17 – $4,074.00	4
SSM Health St. Clare Hospital - Baraboo	Baraboo	$4,398.90	$644.34 – $4,401.00	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$4,455.00	$656.13 – $3,030.00	7
SSM Health Waupun Memorial Hospital	Waupun	$4,455.00	$1,221.00 – $3,030.00	4
SSM Health Ripon Community Hospital	Ripon	$4,455.00	$1,221.00 – $3,030.00	4
UnityPoint Health - Meriter Hospital	Madison	$4,671.49	$102.49 – $910.94	14
SSM Health St. Mary's Hospital - Madison	Madison	$6,167.70	$644.34 – $4,198.00	4
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$743.00 – $16,897.00	6