Lower Back (Lumbar Spine) MRI (with and without contrast) cost in Wisconsin
MRI lumbar spine without and with contrast · CPT 72158
$1,100.67
lowest in Wisconsin
$3,045.91
state median
$6,685.06
highest in Wisconsin
$3,097.92
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $1,100.67 | $115.76 – $720.99 | 12 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $1,100.67 | $115.76 – $720.99 | 12 |
| Midwest Orthopedic Specialty Hospital | Franklin | $1,441.07 | $346.78 – $836.00 | 6 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,441.07 | $346.78 – $836.00 | 6 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,441.07 | $346.78 – $836.00 | 6 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,448.60 | $254.15 – $2,832.84 | 3 |
| Ascension Calumet Hospital, Inc. | Chilton | $2,448.72 | $115.76 – $280.34 | 7 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $2,488.75 | $258.81 – $665.99 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | $2,488.75 | $872.35 – $872.35 | 1 |
| SSM Health Ripon Community Hospital | Ripon | $2,488.75 | $872.35 – $872.35 | 1 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $2,700.06 | $179.97 – $1,444.47 | 16 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $2,700.06 | $356.43 – $1,513.40 | 11 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $2,700.06 | $179.97 – $1,444.47 | 16 |
| HSHS St. Vincent Hospital | Green Bay | $2,700.06 | $186.59 – $1,444.47 | 16 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,009.05 | $254.15 – $2,132.97 | 3 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $3,045.91 | $179.52 – $828.27 | 10 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $3,045.91 | $179.52 – $828.27 | 10 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $3,102.55 | $263.55 – $2,032.98 | 3 |
| UnityPoint Health - Meriter Hospital | Madison | $3,141.13 | $101.16 – $2,191.00 | 14 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $3,265.00 | not published | 0 |
| Aurora Baycare Medical Center | Green Bay | $3,265.00 | not published | 0 |
| Aurora Medical Center Bay Area | Marinette | $3,265.00 | not published | 0 |
| Aurora Medical Center Burlington | Burlington | $3,265.00 | not published | 0 |
| Aurora Medical Center Grafton | Grafton | $3,265.00 | not published | 0 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $3,265.00 | not published | 0 |
| Aurora Medical Center Manitowoc | Two Rivers | $3,265.00 | not published | 0 |
| Aurora Medical Center Kenosha | Kenosha | $3,265.00 | not published | 0 |
| Aurora Medical Center Summit | Summit | $3,265.00 | not published | 0 |
| Aurora Medical Center Sheboygan County | Sheboygan | $3,265.00 | not published | 0 |
| Aurora Medical Center Washington County | Hartford | $3,265.00 | not published | 0 |
| Aurora West Allis Medical Center | West Allis | $3,265.00 | not published | 0 |
| SSM Health Monroe Hospital | Monroe | $3,555.20 | $338.87 – $696.75 | 2 |
| Adventhealth Durand | Durand | $6,685.06 | not published | 0 |