MRI cardiac morph & func wwo IV cont w/stress img cost in Wisconsin

HC MRI CARDIAC MORPH & FUNC WWO IV CONT W/STRESS IMG · CPT 75563

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$501.98 – $1,609.16	6
SSM Health Ripon Community Hospital	Ripon	not published	$1,177.73 – $1,177.73	1
SSM Health Monroe Hospital	Monroe	not published	$761.45 – $943.23	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$501.98 – $1,609.16	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$149.60 – $1,595.01	12
UnityPoint Health - Meriter Hospital	Madison	not published	$130.52 – $432.02	9
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$230.45 – $1,692.04	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$571.09 – $2,879.59	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$230.45 – $1,692.04	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$501.98 – $1,609.16	6
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$592.21 – $2,744.62	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$571.09 – $3,824.46	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$149.60 – $361.71	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$149.60 – $1,595.01	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$1,177.73 – $1,177.73	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$581.54 – $1,496.49	4