Mr elastography cost in Wisconsin

HC MR ELASTOGRAPHY · CPT 76391

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$189.75 – $836.00	6
SSM Health Ripon Community Hospital	Ripon	not published	$610.14 – $610.14	1
SSM Health Monroe Hospital	Monroe	not published	$231.76 – $483.80	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$189.75 – $836.00	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$55.67 – $488.00	11
UnityPoint Health - Meriter Hospital	Madison	not published	$48.50 – $160.54	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$86.34 – $517.79	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$173.82 – $1,477.06	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$86.34 – $517.79	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$189.75 – $836.00	6
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$180.25 – $1,407.82	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$173.82 – $1,961.79	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$55.67 – $136.43	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$55.67 – $488.00	11
SSM Health Waupun Memorial Hospital	Waupun	not published	$610.14 – $610.14	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$177.00 – $455.49	4