Scans and imaging CPT 72197 Outpatient

Pelvic MRI with contrast cost in Appleton, WI

In Appleton, WI, 4 hospitals list a cash price for MRI of the pelvis without and with contrast: from $905.16 to $2,014.38, with a median of $1,639.29. The lowest listed price is at Ascension NE Wisconsin - St Elizabeth Campus — $734.13 less than the median here. Across Wisconsin, the median is $2,753.88 at 79 hospitals.

Cash prices at 4 facilities across 2 cities for code 72197, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$905.16Ascension NE Wisconsin - St Elizabeth Campus
Median$1,639.29half pay less
Highest$2,014.38in this market
Difference2.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median
Lowest $905.16Highest $2,016.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ascension NE Wisconsin - St Elizabeth Campus lowest Appleton, WI · (920) 738-2000 HC MRI PELVIS W/WO CONTRAST $905.16 $1,588.00 $110.85–$1,113.21 43% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC MRI Pelvis W and WO Contrast $1,639.29 $2,927.30 $380.55–$4,668.60 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC MRI Pelvis W and WO Contrast $1,639.29 $2,927.30 $380.55–$4,668.60 44% —
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Ascension Calumet Hospital Chilton, WI · (920) 849-2386 HC MRI PELVIS W/WO CONTRAST $2,014.38 $3,534.00 $110.85–$1,113.21 43% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC MRI PELVIS W AND WO CONTRAST $2,016.00 $3,600.00 $380.55–$4,668.60 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC MRI PELVIS W AND WO CONTRAST $2,016.00 $3,600.00 $380.55–$4,668.60 44% —
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Outpatient: lowest $905.16, median $1,639.29, highest $2,014.38 — a 2.2× difference within the same market.

Cash or insurance?

At 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

A pelvic MRI without and with contrast images the uterus, ovaries, prostate, bladder and rectum. It is used for tumors, fibroids and prostate cancer staging.

What the price covers

The price usually covers the scan and the contrast dye. The radiologist's reading may be billed separately.