X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast cost in Wisconsin

HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Double Contrast · CPT 74246

$200.07

lowest in Wisconsin

$705.00

state median

$1,079.10

highest in Wisconsin

$657.77

national median

Hospital City Cash price Negotiated range Payers
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $200.07 $45.23 – $359.39 12
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $200.07 $45.23 – $359.39 12
Ascension St. Francis Hospital, Inc. Milwaukee $208.29 $117.61 – $401.74 6
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $208.29 $117.61 – $401.74 6
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $276.65 $130.12 – $334.84 4
SSM Health Waupun Memorial Hospital Waupun $276.65 $306.06 – $306.06 1
SSM Health Ripon Community Hospital Ripon $276.65 $306.06 – $306.06 1
SSM Health Monroe Hospital Monroe $330.55 $170.37 – $245.12 2
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $359.34 $70.09 – $401.74 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $359.34 $70.09 – $401.74 10
SSM Health St. Mary's Hospital - Madison Madison $652.85 $127.78 – $748.37 3
Aurora Baycare Medical Center Green Bay $705.00 not published 0
Aurora Medical Center Bay Area Marinette $705.00 not published 0
Aurora Medical Center Burlington Burlington $705.00 not published 0
Aurora Medical Center Grafton Grafton $705.00 not published 0
Aurora Medical Center Manitowoc Two Rivers $705.00 not published 0
Aurora Medical Center Kenosha Kenosha $705.00 not published 0
Aurora Medical Center Fond du Lac Fond Du Lac $705.00 not published 0
Aurora Medical Center Sheboygan County Sheboygan $705.00 not published 0
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $705.00 not published 0
Aurora Medical Center Summit Summit $705.00 not published 0
Aurora Medical Center Washington County Hartford $705.00 not published 0
Aurora West Allis Medical Center West Allis $705.00 not published 0
SSM Health St. Clare Hospital - Baraboo Baraboo $716.65 $127.78 – $993.93 3
HSHS St. Mary's Hospital Medical Center GREEN BAY $798.60 $52.32 – $456.60 16
HSHS St. Nicholas Hospital SHEBOYGAN $798.60 $52.32 – $456.60 16
HSHS St. Vincent Hospital Green Bay $798.60 $54.25 – $456.60 16
HSHS St. Clare Memorial Hospital OCONTO FALLS $798.60 $179.20 – $495.60 11
SSM Health St. Mary's Hospital - Janesville Janesville $1,000.45 $132.50 – $713.28 3
UnityPoint Health - Meriter Hospital Madison $1,079.10 $39.45 – $447.82 14
Midwest Orthopedic Specialty Hospital Franklin not published $117.61 – $401.74 6
Ascension Calumet Hospital, Inc. Chilton not published $45.23 – $110.02 7