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

HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Single Contrast Study · CPT 74240

$191.52

lowest in Wisconsin

$528.55

state median

$1,079.10

highest in Wisconsin

$603.20

national median

Hospital City Cash price Negotiated range Payers
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $191.52 $40.67 – $359.39 12
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $191.52 $40.67 – $359.39 12
Ascension St. Francis Hospital, Inc. Milwaukee $192.39 $118.78 – $401.74 6
Midwest Orthopedic Specialty Hospital Franklin $192.39 $118.78 – $401.74 6
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $192.39 $118.78 – $401.74 6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $269.24 $63.22 – $401.74 10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $269.24 $63.22 – $401.74 10
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 $259.73 – $259.73 1
SSM Health Ripon Community Hospital Ripon $276.65 $259.73 – $259.73 1
SSM Health Monroe Hospital Monroe $279.95 $170.37 – $208.01 2
HSHS St. Mary's Hospital Medical Center GREEN BAY $514.14 $52.32 – $456.60 16
HSHS St. Nicholas Hospital SHEBOYGAN $514.14 $52.32 – $456.60 16
HSHS St. Vincent Hospital Green Bay $514.14 $54.25 – $456.60 16
SSM Health St. Mary's Hospital - Madison Madison $528.55 $127.78 – $635.07 3
SSM Health St. Clare Hospital - Baraboo Baraboo $572.55 $127.78 – $843.44 3
Aurora Baycare Medical Center Green Bay $655.00 not published 0
Aurora Medical Center Bay Area Marinette $655.00 not published 0
Aurora Medical Center Burlington Burlington $655.00 not published 0
Aurora Medical Center Grafton Grafton $655.00 not published 0
Aurora Medical Center Manitowoc Two Rivers $655.00 not published 0
Aurora Medical Center Kenosha Kenosha $655.00 not published 0
Aurora Medical Center Fond du Lac Fond Du Lac $655.00 not published 0
Aurora Medical Center Sheboygan County Sheboygan $655.00 not published 0
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $655.00 not published 0
Aurora Medical Center Summit Summit $655.00 not published 0
Aurora Medical Center Washington County Hartford $655.00 not published 0
Aurora West Allis Medical Center West Allis $655.00 not published 0
SSM Health St. Mary's Hospital - Janesville Janesville $800.25 $132.50 – $605.31 3
UnityPoint Health - Meriter Hospital Madison $1,079.10 $35.59 – $447.82 14
Ascension Calumet Hospital, Inc. Chilton not published $40.67 – $98.53 7