Ther radiology tx plng cplx cost in Wisconsin

THER RADIOLOGY TX PLNG CPLX · CPT 77263

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$558.87 – $558.87	1
SSM Health Ripon Community Hospital	Ripon	not published	$562.52 – $562.52	1
SSM Health Monroe Hospital	Monroe	not published	$446.33 – $446.33	1
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$558.87 – $558.87	1
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$178.18 – $411.68	7
UnityPoint Health - Meriter Hospital	Madison	not published	$157.38 – $520.93	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1,375.41 – $1,375.41	1
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$274.62 – $542.67	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$274.62 – $542.67	6
Midwest Orthopedic Specialty Hospital	Franklin	not published	$558.87 – $558.87	1
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1,310.92 – $1,310.92	1
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1,826.70 – $1,826.70	1
Ascension Calumet Hospital, Inc.	Chilton	not published	$178.18 – $411.68	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$178.18 – $411.68	7
SSM Health Waupun Memorial Hospital	Waupun	not published	$562.52 – $562.52	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$562.52 – $562.52	1