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Wisconsin

Cost of a Brain MRI Visit
in Wisconsin

Reviewed by Momentary Medical Group West PC

Wisconsin's healthcare system serves 5.9 million residents through a network of major health systems including Ascension Wisconsin, Aurora Health Care, and Gundersen Health System, with Brain MRI services available across both urban centers and rural communities. Patients across the state can access over 4,000 Brain MRI providers, with negotiated insurance rates typically ranging from $80 to $2,464 depending on the specific imaging procedure and facility. Browse all available Brain MRI providers throughout Wisconsin to find the most affordable option for your specific insurance plan.

Average

$975

Median

$381

Lowest

$80

Highest

$2,464

Providers

4,163

National avg: $478Wisconsin: $975

104% above national average

Compare Similar Procedures

How does mri brain compare to related procedures in Wisconsin?

ProcedureCPTLowMedianHighProviders
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
CT Chest

CT scan of the chest with contrast

71260$73$154$8634,270

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 70553MRI brain without contrast, then 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 70553 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 70553 (MRI brain without contrast, then with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 70553 covers: the provider's professional fee for mri brain. 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 Brain MRI Visit Costs Vary Across Wisconsin

Wisconsin's Brain MRI costs run approximately 8% above the national average, reflecting the state's mix of high-cost urban markets in Milwaukee and Madison alongside more affordable rural communities. The state's robust healthcare infrastructure and competitive insurance market help moderate pricing compared to other Midwest states, though facility type and location create significant cost variations.

Urban vs. Rural Provider Availability

Milwaukee and Madison metro areas offer dozens of imaging centers with competitive pricing, while northern Wisconsin's rural counties may have limited options requiring patients to travel 50+ miles for Brain MRI services. Rural facilities often charge lower base rates but may lack weekend or evening availability, potentially requiring time off work that adds to total healthcare costs.

Facility Type and Overhead Costs

Hospital-owned outpatient imaging centers affiliated with major systems like Ascension Wisconsin or Aurora Health Care typically charge premium rates due to higher overhead costs and facility fees. Independent radiology practices and dedicated imaging centers throughout Wisconsin often provide identical Brain MRI quality at 30-50% lower costs, particularly in competitive markets like the Fox Cities and greater Milwaukee area.

Insurance Market Competition in Wisconsin

Strong competition between Anthem BCBS Wisconsin, UnitedHealthcare, and regional players like WEA Trust creates favorable negotiated rates for Brain MRI procedures across most of the state. Wisconsin's relatively concentrated insurance market allows major carriers to negotiate competitive rates with provider networks, though rural areas with fewer provider options may see less aggressive rate negotiations.

Physician Supply and Demand in Wisconsin

With over 4,000 Brain MRI providers statewide, Wisconsin maintains adequate radiologist and neurologist supply in urban areas, though rural counties face ongoing specialist shortages. The strong provider density in major metropolitan areas creates competitive pricing and shorter wait times, while rural shortage areas may see higher costs and longer scheduling delays for non-emergency brain imaging.

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 — Brain MRI Costs in Wisconsin

What is the average cost of a Brain MRI visit in Wisconsin without insurance?

Without insurance, Brain MRI procedures in Wisconsin typically cost between $80 and $2,464, with a median price of $381. These rates represent actual negotiated prices from transparency files, though self-pay patients may qualify for additional cash discounts of 20-40% at many facilities. The wide cost range reflects differences between basic brain MRI sequences and more complex studies with contrast enhancement.

Does Wisconsin Medicaid cover Brain MRI visits?

BadgerCare Plus, Wisconsin's expanded Medicaid program, covers medically necessary Brain MRI procedures when ordered by a physician for diagnostic purposes. Coverage includes both the imaging procedure and radiologist interpretation, though prior authorization may be required for non-emergency cases. Wisconsin's Medicaid expansion has improved access to neuroimaging services for low-income residents across the state.

How do I find an affordable Brain MRI near me in Wisconsin?

Compare prices between hospital-owned imaging centers and independent radiology practices, as independents often charge 30-50% less for identical procedures. Ask about self-pay discounts if you're uninsured, check whether your insurance has tiered networks favoring certain facilities, and consider traveling to competitive markets like Milwaukee or Madison for better pricing. Community health centers in Wisconsin may also offer sliding-scale fees for qualifying patients.

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

Brain MRI procedures typically involve the imaging study itself plus a separate radiologist interpretation, rather than traditional consultation visits. If you need to see a neurologist before or after your MRI, initial consultations generally cost more than follow-up visits, but the MRI facility charges remain the same regardless of whether it's your first or repeat imaging study.

Can I use an HSA or FSA to pay for a Brain MRI visit in Wisconsin?

Yes, Brain MRI procedures qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) when prescribed by a physician for diagnostic purposes. You can use these pre-tax funds to pay deductibles, copays, and coinsurance associated with your brain imaging, potentially saving 20-30% through tax advantages. Keep all receipts and documentation for potential account audits.

How does telemedicine affect the cost of seeing a Brain MRI in Wisconsin?

While the MRI procedure itself requires in-person imaging, telemedicine consultations with neurologists or radiologists can reduce overall costs by eliminating separate office visit fees. Many Wisconsin health systems now offer telehealth follow-up appointments to discuss MRI results, typically costing $50-150 less than in-person consultations. However, initial evaluations often still require physical examination before MRI ordering.

Click a state to compare costs

Average Visit Cost

$265
$1,291

Office visit (CPT 70553)

Compare With Other States

RankStateAverage
1North Dakota
Range: $221$3,100
$1,291
2Minnesota
Range: $88$3,100
$1,247
3Wisconsin
Range: $80$2,464
$975
4Nevada
Range: $135$1,458
$698
5Georgia
Range: $101$1,468
$653
6Hawaii
Range: $88$1,014
$577
7Massachusetts
Range: $90$1,060
$567
8Maine
Range: $178$1,023
$548
9Wyoming
Range: $100$1,112
$537
10Utah
Range: $94$1,045
$510
11Nebraska
Range: $208$793
$504
12New Mexico
Range: $98$1,063
$492
13New Hampshire
Range: $129$993
$489
14Washington
Range: $100$863
$489
15North Carolina
Range: $99$988
$485
16Iowa
Range: $95$842
$483
17Colorado
Range: $95$1,015
$475
18Indiana
Range: $85$1,014
$471
19Louisiana
Range: $92$766
$468
20Alaska
Range: $97$948
$454
21South Dakota
Range: $247$552
$450
22West Virginia
Range: $98$687
$446
23Vermont
Range: $82$983
$443
24Virginia
Range: $76$970
$437
25Michigan
Range: $80$917
$430
26Rhode Island
Range: $88$879
$429
27Idaho
Range: $88$793
$428
28District of Columbia
Range: $90$879
$426
29Oregon
Range: $103$623
$426
30Illinois
Range: $93$842
$417
31New York
Range: $82$926
$417
32Tennessee
Range: $109$823
$417
33Montana
Range: $100$590
$414
34Kansas
Range: $107$818
$401
35Kentucky
Range: $83$842
$398
36South Carolina
Range: $82$829
$390
37Alabama
Range: $88$811
$384
38Pennsylvania
Range: $57$879
$384
39Oklahoma
Range: $85$817
$377
40Mississippi
Range: $89$811
$376
41New Jersey
Range: $63$830
$374
42Ohio
Range: $78$813
$373
43Texas
Range: $90$721
$355
44Maryland
Range: $46$737
$351
45Delaware
Range: $98$596
$345
46Missouri
Range: $115$628
$342
47Arkansas
Range: $104$630
$340
48Connecticut
Range: $55$777
$337
49Florida
Range: $35$811
$302
50Arizona
Range: $100$550
$288
51California
Range: $55$654
$265
MRI Brain in Other States