Wheaton Franciscan Healthcare - Southeast Wisconsin Inc
Wheaton Franciscan Healthcare - Southeast Wisconsin Inc in Franklin, WI publishes cash prices for 34 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
10101 S. 27th St Franklin WI 53132 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRAST | $1,274.65 | $2,405.00 | 47% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $841.64 | $1,588.00 | 47% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $841.64 | $1,588.00 | 47% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $841.64 | $1,588.00 | 47% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $867.61 | $1,637.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST | $1,355.21 | $2,557.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST | $1,355.21 | $2,557.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST | $1,355.21 | $2,557.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST | $1,426.76 | $2,692.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST | $1,426.76 | $2,692.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST | $1,426.76 | $2,692.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST | $1,337.19 | $2,523.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST | $1,337.19 | $2,523.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST | $1,337.19 | $2,523.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST | $1,426.76 | $2,692.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST | $1,426.76 | $2,692.00 | 47% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST | $1,426.76 | $2,692.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $1,341.96 | $2,532.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $1,341.96 | $2,532.00 | 47% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $1,341.96 | $2,532.00 | 47% |
| Transvaginal pelvic ultrasound CPT 76830 HC US NON-OB TRANSVAGINAL | $469.58 | $886.00 | 47% |
| Transvaginal pelvic ultrasound CPT 76830 HC US NON-OB TRANSVAGINAL | $469.58 | $886.00 | 47% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US NON-OB TRANSVAGINAL | $469.58 | $886.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE | $415.52 | $784.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE | $415.52 | $784.00 | 47% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE | $415.52 | $784.00 | 47% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY EXAM L-2 SPINE 4/>VWS | $163.24 | $308.00 | 47% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY EXAM L-2 SPINE 4/>VWS | $163.24 | $308.00 | 47% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY EXAM L-2 SPINE 4/>VWS | $163.24 | $308.00 | 47% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL-CALCIUM, TOTAL | $50.88 | $96.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $50.88 | $96.00 | 47% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO DIFFERENTIAL WBC | $31.80 | $60.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED | $24.38 | $46.00 | 47% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $65.72 | $124.00 | 47% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $57.24 | $108.00 | 47% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $51.94 | $98.00 | 47% |
| Obstetric blood test panel CPT 80055 HC PRENATAL PROFILE | $191.86 | $362.00 | 47% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $60.42 | $114.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING | $69.96 | $132.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $69.96 | $132.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA OR WB | $38.16 | $72.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $21.20 | $40.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - POC | $21.20 | $40.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE-R | $27.03 | $51.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE | $63.60 | $120.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTOMATED W/SCOPE | $22.26 | $42.00 | 47% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NONAUTOMATED W/SCOPE | $22.79 | $43.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTOMATED W/O SCOPE - POC | $9.01 | $17.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTOMATED W/O SCOPE | $9.01 | $17.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTOMATED W/O SCOPE-POC | $13.78 | $26.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTOMATED W/O SCOPE | $13.78 | $26.00 | 47% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HC LT HEART CATH W/ VENT | $8,373.47 | $15,799.00 | 47% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W IMG | $1,053.64 | $1,988.00 | 47% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX INTERLAMINAR LMBR/SAC W/O IMG | $1,005.41 | $1,897.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ AA&/STRD TRANSFORAMINAL EPIDURAL L/S | $930.68 | $1,756.00 | 47% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $1,371.64 | $2,588.00 | 47% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES / 15 MIN | $72.61 | $137.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES / 15 MIN | $72.61 | $137.00 | 47% |