Venous thrombosis imaging cost in Wisconsin

Venous thrombosis imaging · CPT 78457

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$129.58 – $1,101.15	5
SSM Health Ripon Community Hospital	Ripon	not published	$517.78 – $517.78	1
SSM Health Monroe Hospital	Monroe	not published	$381.38 – $527.40	2
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$129.58 – $1,101.15	5
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$35.79 – $1,086.69	12
UnityPoint Health - Meriter Hospital	Madison	not published	$31.56 – $519.93	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$55.64 – $1,152.80	10
SSM Health St. Mary's Hospital - Madison	Madison	not published	$395.55 – $1,266.03	3
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$55.64 – $1,152.80	10
Midwest Orthopedic Specialty Hospital	Franklin	not published	$129.58 – $1,101.15	5
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$410.18 – $1,206.69	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$395.55 – $1,681.46	3
Ascension Calumet Hospital, Inc.	Chilton	not published	$35.79 – $91.86	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$35.79 – $1,086.69	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$517.78 – $517.78	1
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$402.79 – $1,036.52	4