MRI Scan of Pelvis without Contrast Cost in Wisconsin

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 82 Wisconsin hospitals. CPT 72195. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $2,110 📉 Low $79.46 📈 High $5,796 🏥 82 hospitals 🏛️ 56 with insurance contracts 🇺🇸 Medicare $218

Hospital comparison — Wisconsin

Sorted by cash price (lowest first). Showing top 60 of 82 hospitals.

Billed more than $2,110 for this? That gap is evidence. Build my dispute letter
HospitalCashAetnaUHCCignaMolinaHumanaMultiPlanFirst HealthBCBS
OAKLEAF SURGICAL HOSPITAL
ALTOONA
$79.46 —$80.80$90.00—$236$87.00$85.00—
ST CROIX REGIONAL MEDICAL CENTER
SAINT CROIX FALLS
$130 ————$95.19——$237
EDGERTON HOSPITAL WHITEWATER CLINIC
SUITE C
$148 $55.00$121——————
EDGERTON HOSPITAL FULTON SQUARE CLINIC
EDGERTON
$148 $55.00$60.00——————
MERCYHEALTH HOSPITAL AND TRAUMA CENTER - JANESVILLE
JANESVILLE
$183 $240——————$651
FROEDTERT HOSPITAL
MILWAUKEE
$314 $251$246$445$246$246$456$493—
ASPIRUS EAGLE RIVER HOSPITAL
EAGLE RIVER
$545 ————————
ASPIRUS STANLEY HOSPITAL
STANLEY
$545 ————————
ASPIRUS LANGLADE HOSPITAL
ANTIGO
$545 —$61.16——————
ASPIRUS RHINELANDER HOSPITAL
RHINELANDER
$545 $232$58.35——$59.94———
ASPIRUS WAUSAU HOSPITAL
WAUSAU
$545 $233———————
ASPIRUS TOMAHAWK HOSPITAL
TOMAHAWK
$545 ————————
ASPIRUS MERRILL HOSPITAL
MERRILL
$545 ————————
ASPIRUS STEVENS POINT HOSPITAL
STEVENS POINT
$545 $232———————
ASPIRUS DIVINE SAVIOR HOSPITAL
PORTAGE
$545 $232———————
ASPIRUS PLOVER HOSPITAL
STEVENS POINT
$545 $233———————
HOWARD YOUNG MEDICAL CENTER
WOODRUFF
$545 $232———————
ASPIRUS WISCONSIN RAPIDS HOSPITAL
WISCONSIN RAPIDS
$545 $232———————
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC
MEDFORD
$545 ————————
RICHLAND HOSPITAL CLINIC
RICHLAND CENTER
$577 $613$58.35$613—$74.14———
PAM REHABILITATION HOSPITAL OF WAUSAU
WAUSAU
$1,081 $224————$865——
UW HEALTH AMERICAN FAMILY CHILDREN'S HOSPITAL
HIGHLAND AVE MADISON
$1,351 ————————
BELOIT MEMORIAL HOSPITAL
BELOIT
$1,373 ————————
ASCENSION CALUMET HOSPITAL
CHILTON
$1,411 ————————
SSM HEALTH ST. MARY'S HOSPITAL - MADISON
MADISON
$1,427 ———————$2,447
HOLY FAMILY MEMORIAL
MANITOWOC
$1,512 —$230$1,980$230$230$2,200$2,420—
WESTFIELDS HOSPITAL
NEW RICHMOND
$1,755 ————————
BLACK RIVER MEMORIAL HOSPITAL
BLACK RIVER FALLS
$1,774 ————————
HUDSON HOSPITAL
HUDSON
$1,837 ————————
AMERY HOSPITAL
AMERY
$2,057 ————————
AURORA LAKELAND MEDICAL CENTER
ELKHORN
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER GRAFTON
GRAFTON
$2,110 $1,114$767$2,550$1,273————
AURORA WEST ALLIS MEDICAL CENTER
WEST ALLIS
$2,110 $1,114$767$2,550$1,273————
AURORA SINAI MEDICAL CENTER
MILWAUKEE
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER BAY AREA
MARINETTE
$2,110 $1,114$767$2,550$1,273————
AURORA ST LUKES MEDICAL CENTER
MILWAUKEE
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER SUMMIT
SUMMIT
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER OSHKOSH
OSHKOSH
$2,110 $1,114$767$2,550$1,273————
AURORA ST. LUKE'S SOUTH SHORE
CUDAHY
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER MOUNT PLEASANT
MOUNT PLEASANT
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER WASHINGTON COUNTY
HARTFORD
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER KENOSHA
KENOSHA
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER MANITOWOC COUNTY
TWO RIVERS
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER FOND DU LAC
FOND DU LAC
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER BURLINGTON
BURLINGTON
$2,110 $1,114$767$2,550$1,273————
AURORA BAYCARE MEDICAL CENTER
GREEN BAY
$2,110 $1,114$767$2,550$1,273————
AURORA MEDICAL CENTER SHEBOYGAN
SHEBOYGAN
$2,110 $1,114$767$2,550$1,273————
ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR
TOWER AVE SUPERIOR
$2,116 ————————
SSM HEALTH WAUPUN MEMORIAL HOSPITAL
WAUPUN
$2,119 ———————$1,001
SSM HEALTH ST. AGNES HOSPITAL - FOND DU LAC
FOND DU LAC
$2,119 ———————$1,001
SSM HEALTH RIPON COMMUNITY HOSPITAL
RIPON
$2,119 ———————$1,001
MEMORIAL HOSPITAL OF LAFAYETTE COUNTY
DARLINGTON
$2,175 $74.72$58.35——$74.72———
UNITYPOINT HEALTH MERITER
MADISON
$2,273 —$64.38$852—$67.60———
HSHS ST. VINCENT'S HOSPITAL
GREEN BAY
$2,277 $232$232$2,415$92.70$232$2,898$3,278—
HSHS ST CLARE MEMORIAL HOSPITAL
OCONTO FALLS
$2,277 $828$828$2,156$415$828$3,070$3,278—
HSHS ST. NICHOLAS HOSPITAL
SHEBOYGAN
$2,277 $233$233$2,415$93.34$233$2,898$3,278—
HSHS ST. MARY'S HOSPITAL
GREEN BAY
$2,277 $233$233$2,415$93.20$233$2,898$3,278—
ASCENSION SACRED HEART REHABILITATION HOSPITAL
MEQUON
$2,289 —$195——$195———
SSM HEALTH ST. CLARE HOSPITAL
BARABOO
$2,318 ———————$3,250
PROHEALTH WAUKESHA MEMORIAL HOSPITAL
WAUKESHA
$2,360 $1,716$385$3,167——$3,969$3,622—
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 72195, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,823 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $2,110 for this?

That is the median of what the 82 Wisconsin hospitals above publish for Mri scan of pelvis without contrast — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 72195 in Wisconsin, Medicare reimburses about $218 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Wisconsin range from $79.46 to $5,796 — that means hospital cash prices are typically 9.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does mri scan of pelvis without contrast cost in Wisconsin?
Cash prices for mri scan of pelvis without contrast (CPT 72195) in Wisconsin range from $79.46 to $5,796, with a median of $2,110. Prices vary widely by hospital.
Where can I find the cheapest mri scan of pelvis without contrast in Wisconsin?
The cheapest Wisconsin hospital published cash price for this procedure is $79.46. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?
These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?
Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?
Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Mri scan of pelvis without contrast in nearby states

Other procedures in Wisconsin

Methodology. Cash prices and insurance-negotiated rates published by each Wisconsin facility under federal price transparency rules (45 CFR § 180). CPT code 72195 (Imaging). Data refreshed regularly; verify with the facility before any procedure.