SelfPayRates — hospital cash prices, from the source
Cash prices at 4 facilities across 2 cities for code 70553, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Ascension NE Wisconsin, Inc.
APPLETON, WI HC MRI BRAIN W/WO CONTRAST |
$1,171.92 | $2,056.00 | 43% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc.
APPLETON, WI HC MRI Brain WO and W Contrast |
$1,818.15 | $3,246.70 | 44% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc
APPLETON, WI HC MRI Brain WO and W Contrast |
$1,818.15 | $3,246.70 | 44% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc.
APPLETON, WI HC MRI BRAIN WO AND W CONTRAST |
$2,363.59 | $4,220.70 | 44% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc
APPLETON, WI HC MRI BRAIN WO AND W CONTRAST |
$2,363.59 | $4,220.70 | 44% | — file |
|
| Ascension Calumet Hospital, Inc.
CHILTON, WI HC MRI BRAIN W/WO CONTRAST |
$2,608.32 | $4,576.00 | 43% | — file |
Outpatient: lowest $1,171.92, median $2,090.87, highest $2,608.32 — a 2.2× difference within the same market.