Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level cost in Wisconsin

HC Injection(S) Diagnostic/Therapeutic Agent Facet Cervical/Thoracic 2nd Level · CPT 64491

$84.80

lowest in Wisconsin

$1,007.19

state median

$3,955.05

highest in Wisconsin

$1,131.41

national median

Hospital City Cash price Negotiated range Payers
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $84.80 $94.72 – $380.48 6
Midwest Orthopedic Specialty Hospital Franklin $663.56 $345.10 – $345.10 1
Ascension St. Francis Hospital, Inc. Milwaukee $663.56 $345.10 – $345.10 1
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $663.56 $345.10 – $345.10 1
SSM Health Monroe Hospital Monroe $680.35 $2,181.00 – $9,837.00 2
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $739.86 $61.85 – $348.00 7
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $739.86 $61.85 – $348.00 7
Ascension Calumet Hospital, Inc. Chilton $1,007.19 $61.85 – $348.00 7
UnityPoint Health - Meriter Hospital Madison $1,321.60 $54.08 – $180.63 13
SSM Health St. Clare Hospital - Baraboo Baraboo $1,741.30 $1,676.00 – $1,676.00 1
SSM Health St. Mary's Hospital - Janesville Janesville $3,022.80 $1,704.00 – $1,704.00 1
SSM Health St. Mary's Hospital - Madison Madison $3,547.50 $2,036.00 – $2,036.00 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $3,955.05 $1,887.00 – $5,512.00 3
SSM Health Waupun Memorial Hospital Waupun $3,955.05 $1,887.00 – $5,512.00 3
SSM Health Ripon Community Hospital Ripon $3,955.05 $1,887.00 – $5,512.00 3
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $949.00 – $16,897.00 6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $94.72 – $380.48 6