Mnl appl strs jt radiography cost in Wisconsin

MNL APPL STRS JT RADIOGRAPHY · CPT 77071

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$85.50 – $182.03	5
SSM Health Ripon Community Hospital	Ripon	not published	$161.67 – $161.67	1
SSM Health Monroe Hospital	Monroe	not published	$84.53 – $128.55	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$85.50 – $182.03	5
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$57.89 – $177.77	12
UnityPoint Health - Meriter Hospital	Madison	not published	$49.81 – $164.87	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$85.71 – $188.56	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$63.40 – $395.35	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$85.71 – $188.56	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$85.50 – $182.03	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$65.74 – $376.79	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$63.40 – $525.06	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$57.89 – $124.79	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$57.89 – $177.77	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$161.67 – $161.67	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$64.56 – $166.13	4