Logo
Wisconsin

Cost of a Chest CT Scan Visit
in Wisconsin

Reviewed by Momentary Medical Group West PC

Wisconsin's healthcare system features robust rural hospital networks that serve its widely distributed population across 72 counties. Patients typically pay between $73 and $863 for a Chest CT Scan, with a median out-of-pocket cost of $154. Wisconsin maintains over 4,270 active Chest CT Scan providers throughout the state, offering patients numerous options to browse providers statewide.

Average

$363

Median

$154

Lowest

$73

Highest

$863

Providers

4,270

National avg: $302Wisconsin: $363

20% above national average

Compare Similar Procedures

How does ct chest compare to related procedures in Wisconsin?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$80$381$2,4644,163
MRI Knee

MRI of the knee without contrast

73721$73$139$1,0015,766
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$73$181$1,4776,596
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$79$239$2,0905,417

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 71260CT chest with contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 71260 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 71260 (CT chest with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 71260 covers: the provider's professional fee for ct chest. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Chest CT Scan Visit Costs Vary Across Wisconsin

Wisconsin's healthcare costs run approximately 1% above national averages, reflecting the state's mixed urban-rural demographics and moderate insurance market competition. The state's extensive rural geography creates unique access challenges that influence pricing patterns across different regions.

Urban vs. Rural Provider Availability

Wisconsin's population concentration in Milwaukee, Madison, and Green Bay creates higher provider density and more competitive pricing in these metropolitan areas. Rural counties often rely on critical access hospitals and traveling radiologists, which can increase costs but may offer more flexible payment arrangements. The state's agricultural regions sometimes require patients to travel significant distances for specialized imaging services.

Facility Type and Overhead Costs

Hospital-based outpatient imaging centers typically charge higher facility fees compared to independent radiology clinics throughout Wisconsin. Major health systems like Froedtert Health, UW Health, and Advocate Aurora Health operate extensive networks with varying cost structures. Community hospitals in smaller Wisconsin cities often provide more affordable alternatives while maintaining quality accreditation standards.

Insurance Market Competition in Wisconsin

The presence of BCBS Wisconsin, UnitedHealthcare, and WEA Trust creates moderate insurer competition, though rural areas have fewer plan options. WEA Trust's focus on education employees and BCBS Wisconsin's broad network influence negotiated rates differently across provider types. Limited insurer competition in some regions allows providers more pricing flexibility.

Physician Supply and Demand in Wisconsin

With over 4,270 active Chest CT Scan providers statewide, Wisconsin maintains adequate radiologist availability relative to its 5.9 million residents. This healthy provider-to-population ratio helps keep wait times reasonable and prevents significant price inflation from supply shortages. Rural areas still experience periodic access challenges, particularly for specialized thoracic imaging interpretation.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Chest CT Scan Costs in Wisconsin

What is the average cost of a Chest CT Scan visit in Wisconsin without insurance?

Without insurance, Wisconsin patients typically pay between $73 and $863 for a Chest CT Scan, with a median cost of $154. These rates represent what insurers have negotiated with providers, though self-pay patients may receive different pricing. Many facilities offer cash-pay discounts that can reduce these amounts by 20-40%, making it worthwhile to ask about self-pay options when scheduling your appointment.

Does Wisconsin Medicaid cover Chest CT Scan visits?

Yes, Wisconsin's expanded Medicaid program (BadgerCare Plus) covers medically necessary Chest CT Scans when ordered by a physician. Coverage requires prior authorization in most cases and medical necessity documentation from your referring doctor. BadgerCare Plus has improved access to imaging services for lower-income Wisconsin residents, though you may need to use specific in-network providers and facilities.

How do I find an affordable Chest CT Scan near me in Wisconsin?

Compare prices between hospital-based imaging centers and independent radiology clinics, as costs can vary significantly. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding-scale pricing. Rural Wisconsin facilities sometimes offer more competitive rates than urban centers, though you'll need to factor in travel costs and time.

What is the difference in cost between an initial consultation and a follow-up visit?

Chest CT Scans are typically imaging procedures rather than office visits, so the cost structure differs from consultation-based specialties. The scan itself costs between $73-$863 regardless of whether it's your first or follow-up imaging. However, if you need to see a radiologist or pulmonologist to discuss results, initial consultations generally cost more than follow-up appointments due to the comprehensive nature of first visits.

Can I use an HSA or FSA to pay for a Chest CT Scan visit in Wisconsin?

Yes, Chest CT Scans are considered qualified medical expenses eligible for Health Savings Account (HSA) and Flexible Spending Account (FSA) reimbursement. You can use these pre-tax dollars to pay for the imaging procedure, related consultation fees, and associated medical costs. Keep all receipts and documentation for your records, as you may need them for reimbursement or tax purposes.

How does telemedicine affect the cost of seeing a Chest CT Scan in Wisconsin?

While the actual CT scan requires in-person imaging, telemedicine consultations for results review or follow-up discussions are often less expensive than office visits. Many Wisconsin radiologists and specialists offer virtual consultations for $50-150 compared to traditional office visits. Telehealth options became more widely available during the pandemic and remain popular for non-emergency follow-up care, particularly beneficial for rural Wisconsin patients who would otherwise travel long distances.

Click a state to compare costs

Average Visit Cost

$131
$2,723

Office visit (CPT 71260)

Compare With Other States

RankStateAverage
1North Dakota
Range: $118$7,881
$2,723
2Minnesota
Range: $80$7,881
$2,711
3Wisconsin
Range: $73$863
$363
4Georgia
Range: $61$699
$319
5Wyoming
Range: $54$598
$287
6Nevada
Range: $80$453
$272
7Maine
Range: $93$439
$262
8Nebraska
Range: $108$415
$246
9Hawaii
Range: $67$348
$243
10New Mexico
Range: $52$505
$242
11Iowa
Range: $73$424
$237
12Vermont
Range: $49$516
$236
13North Carolina
Range: $60$443
$233
14New Hampshire
Range: $67$446
$232
15Massachusetts
Range: $64$454
$230
16Rhode Island
Range: $54$454
$226
17Alaska
Range: $54$449
$224
18District of Columbia
Range: $49$454
$223
19Colorado
Range: $55$441
$218
20Utah
Range: $54$374
$212
21California
Range: $25$521
$210
22Indiana
Range: $54$411
$206
23New York
Range: $42$443
$205
24Washington
Range: $54$384
$203
25Michigan
Range: $57$356
$195
26Illinois
Range: $64$346
$192
27Tennessee
Range: $61$333
$188
28Pennsylvania
Range: $50$389
$185
29West Virginia
Range: $64$317
$184
30Virginia
Range: $41$371
$182
31Idaho
Range: $54$321
$182
32New Jersey
Range: $41$371
$181
33Connecticut
Range: $54$389
$179
34Texas
Range: $54$345
$178
35South Carolina
Range: $54$339
$178
36Kansas
Range: $59$324
$178
37Oregon
Range: $70$291
$177
38South Dakota
Range: $134$222
$175
39Alabama
Range: $48$332
$173
40Delaware
Range: $61$273
$170
41Louisiana
Range: $48$288
$169
42Kentucky
Range: $54$335
$169
43Arkansas
Range: $61$278
$164
44Montana
Range: $54$263
$163
45Maryland
Range: $24$335
$161
46Mississippi
Range: $48$307
$160
47Missouri
Range: $64$265
$159
48Oklahoma
Range: $51$298
$154
49Ohio
Range: $41$298
$154
50Arizona
Range: $54$267
$145
51Florida
Range: $35$297
$131
CT Chest in Other States