Myocrd img pet 2rtracer CT cost in Wisconsin

MYOCRD IMG PET 2RTRACER CT · CPT 78433

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$368.29 – $6,188.63	2
SSM Health Ripon Community Hospital	Ripon	not published	$2,228.24 – $2,228.24	1
SSM Health Monroe Hospital	Monroe	not published	$1,715.18 – $2,139.64	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$368.29 – $6,188.63	2
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$109.51 – $264.32	6
UnityPoint Health - Meriter Hospital	Madison	not published	$95.83 – $1,884.03	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$168.67 – $6,188.63	7
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1,604.73 – $5,236.72	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$168.67 – $6,188.63	7
Midwest Orthopedic Specialty Hospital	Franklin	not published	$368.29 – $6,188.63	2
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,664.08 – $4,991.06	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,604.73 – $6,955.19	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$109.51 – $264.32	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$109.51 – $264.32	6
SSM Health Waupun Memorial Hospital	Waupun	not published	$2,228.24 – $2,228.24	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$1,634.10 – $4,205.08	4