Home › Hospitals › Ascension SE Wisconsin Hospital - St. Joseph Campus Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $1,005.41
$1,897
1.1×
Transforaminal epidural injection, lumbar/sacral (64483) $930.68
$1,756
1.1×
CT head/brain without contrast (70450) $841.64
$1,588
8.1×
MRI brain without contrast (70551) $1,337.19
$2,523
5.6×
MRI brain with contrast (70552) $1,391.25
$2,625
4.0×
MRI brain without and with contrast (70553) $1,426.76
$2,692
4.1×
X-ray lower spine, 4+ views (72110) $163.24
$308
1.6×
MRI lumbar spine without contrast (72148) $1,341.96
$2,532
5.6×
CT pelvis with contrast (72193) $867.61
$1,637
5.0×
MRI lower-extremity joint without contrast (73721) $1,355.21
$2,557
5.7×
CT abdomen and pelvis with contrast (74177) $1,274.65
$2,405
3.7×
Ultrasound, abdomen complete (76700) $415.52
$784
4.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $367.29
$693
3.5×
Ultrasound, transvaginal (76830) $469.58
$886
4.5×
Mammography, one breast (diagnostic) (77065) $271.89
$513
3.2×
Mammography, both breasts (diagnostic) (77066) $381.60
$720
3.5×
Mammography, screening (bilateral) (77067) $259.17
$489
2.8×
Basic metabolic panel (80048) $50.88
$96
6.0×
Comprehensive metabolic panel (80053) $65.72
$124
6.2×
Obstetric panel (80055) $191.86
$362
4.0×
Lipid panel (80061) $50.88
$96
3.8×
Renal function panel (80069) $57.24
$108
6.6×
Hepatic function panel (80076) $51.94
$98
6.4×
Urinalysis, non-automated, with microscopy (81000) $22.79
$43
5.7×
Urinalysis, non-automated, without microscopy (81002) $13.78
$26
4.0×
PSA, total (84153) $69.96
$132
3.8×
Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines $27.03–$63.60
$51–$120
varies
CBC with automated differential (85025) $31.80
$60
4.1×
CBC, automated (85027) $24.38
$46
3.8×
Prothrombin time (PT) (85610) $21.20
$40
4.9×
Partial thromboplastin time (PTT) (85730) $38.16
$72
6.3×
Left heart catheterization (93452) $8,373.47
$15,799
2.6×
Sleep study (attended polysomnography) (95810) $4,539.98
$8,566
5.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $72.61
$137
2.5×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
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