Non-imaging heart function cost in Wisconsin

Non-imaging heart function · CPT 78414

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$75.90 – $1,101.15	5
SSM Health Ripon Community Hospital	Ripon	not published	$171.27 – $171.27	1
SSM Health Monroe Hospital	Monroe	not published	$139.08 – $527.40	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$75.90 – $1,101.15	5
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$22.61 – $1,086.69	12
UnityPoint Health - Meriter Hospital	Madison	not published	$19.62 – $519.93	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$34.87 – $1,152.80	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$395.55 – $527.40	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$34.87 – $1,152.80	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$75.90 – $1,101.15	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$399.15 – $546.91	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$395.55 – $556.20	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$22.61 – $54.17	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$22.61 – $1,086.69	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$171.27 – $171.27	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$171.27 – $1,036.52	4