Pelvic CT scan (with and without contrast) cost in Wisconsin

CT pelvis without and with contrast · CPT 72194

$475.38

lowest in Wisconsin

$1,901.90

state median

$5,468.16

highest in Wisconsin

$1,890.36

national median

Hospital City Cash price Negotiated range Payers
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $475.38 $61.21 – $359.39 12
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $475.38 $61.21 – $359.39 12
Midwest Orthopedic Specialty Hospital Franklin $876.09 $172.86 – $724.00 6
Ascension St. Francis Hospital, Inc. Milwaukee $876.09 $172.86 – $724.00 6
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $876.09 $172.86 – $724.00 6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $1,290.55 $95.45 – $401.74 10
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $1,575.16 $95.45 – $401.74 10
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $1,636.25 $130.12 – $334.84 4
SSM Health Waupun Memorial Hospital Waupun $1,636.25 $661.33 – $661.33 1
SSM Health Ripon Community Hospital Ripon $1,636.25 $661.33 – $661.33 1
SSM Health St. Clare Hospital - Baraboo Baraboo $1,655.50 $127.78 – $2,147.61 3
HSHS St. Mary's Hospital Medical Center GREEN BAY $1,818.96 $134.40 – $1,215.09 16
HSHS St. Nicholas Hospital SHEBOYGAN $1,818.96 $134.40 – $1,215.09 16
HSHS St. Vincent Hospital Green Bay $1,818.96 $139.35 – $1,215.09 16
HSHS St. Clare Memorial Hospital OCONTO FALLS $1,818.96 $179.20 – $1,247.60 11
SSM Health St. Mary's Hospital - Madison Madison $1,901.90 $127.78 – $1,617.02 3
SSM Health Monroe Hospital Monroe $1,955.80 $170.37 – $528.70 2
SSM Health St. Mary's Hospital - Janesville Janesville $2,069.65 $132.50 – $1,541.21 3
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $2,305.00 not published 0
Aurora Baycare Medical Center Green Bay $2,305.00 not published 0
Aurora Medical Center Bay Area Marinette $2,305.00 not published 0
Aurora Medical Center Burlington Burlington $2,305.00 not published 0
Aurora Medical Center Grafton Grafton $2,305.00 not published 0
Aurora Medical Center Manitowoc Two Rivers $2,305.00 not published 0
Aurora Medical Center Kenosha Kenosha $2,305.00 not published 0
Aurora Medical Center Fond du Lac Fond Du Lac $2,305.00 not published 0
Aurora Medical Center Sheboygan County Sheboygan $2,305.00 not published 0
Aurora Medical Center Summit Summit $2,305.00 not published 0
Aurora Medical Center Washington County Hartford $2,305.00 not published 0
Aurora West Allis Medical Center West Allis $2,305.00 not published 0
Adventhealth Durand Durand $3,496.58 not published 0
UnityPoint Health - Meriter Hospital Madison $5,468.16 $53.62 – $2,269.28 14
Ascension Calumet Hospital, Inc. Chilton not published $61.21 – $149.15 7