Facet Joint Injection Cost in Wisconsin (2026): Average Prices & What You'll Pay
What does a facet joint injection cost in Wisconsin?
The same facet joint injection in Wisconsin might cost you $642 at one facility and $1,183 at another - the building you walk into drives the difference. The median cash price across 108 reporting hospitals is $867. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where facet joint injection costs vary in Wisconsin
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
What you pay for a facet joint injection depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Facet Joint Injection Providers in Wisconsin
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($867) |
|---|---|---|---|---|
| 1 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | Sheboygan, WI | $337 | $530 below |
| 2 | St Joseph’s Health Services Inc | Hillsboro, WI | $337 | $530 below |
| 3 | Memorial Hospital of Boscobel | Boscobel, WI | $337 | $530 below |
| 4 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $337 | $530 below |
| 5 | Ladd Memorial Hospital dba Osceola Medical Center | Osceola, WI | $347 | $520 below |
| 6 | Aspirus Medford Hospital | Medford, WI | $358 | $509 below |
| 7 | Aspirus Langlade Hospital | Antigo, WI | $358 | $509 below |
| 8 | Aspirus Merrill Hospital | Merrill, WI | $358 | $509 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS is the lowest-cost option at $337 - $530 below the median posted price ($867), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $867, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $904 to $904 | $904 |
| With insurance (commercial, average) | 72 | $619 to $2,516 | $2,056 |
| Without insurance (cash price) | 116 | $337 to $1,854 | $867 |
| Anthem Blue Cross and Blue Shield | 55 | $267 to $2,641 | $1,183 |
| UnitedHealthcare | 51 | $654 to $3,196 | $2,445 |
| Aetna | 33 | $708 to $1,894 | $1,894 |
| Cigna | 33 | $687 to $3,500 | $3,500 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does a facet joint injection cost with Medicare in Wisconsin?
Medicare's national hospital outpatient payment for facet joint injection is about $904 to $904 (typically near $904). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $181 on a $904 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does a facet joint injection cost with insurance in Wisconsin?
Across 72 Wisconsin hospitals, the negotiated rates commercial insurers pay for facet joint injection average $619 to $2,516 per hospital, with a median near $2,056. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does a facet joint injection cost without insurance in Wisconsin?
Cash (self-pay) prices for facet joint injection at 116 Wisconsin hospitals range from $337 to $1,854, with a median of $867. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does a facet joint injection cost with Anthem Blue Cross and Blue Shield in Wisconsin?
Anthem Blue Cross and Blue Shield negotiated rates for facet joint injection at 55 Wisconsin hospitals range from $267 to $2,641, with a median near $1,183. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does a facet joint injection cost with UnitedHealthcare in Wisconsin?
UnitedHealthcare negotiated rates for facet joint injection at 51 Wisconsin hospitals range from $654 to $3,196, with a median near $2,445. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How much does a facet joint injection cost with Aetna in Wisconsin?
Aetna negotiated rates for facet joint injection at 33 Wisconsin hospitals range from $708 to $1,894, with a median near $1,894. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does a facet joint injection cost with Cigna in Wisconsin?
Cigna negotiated rates for facet joint injection at 33 Wisconsin hospitals range from $687 to $3,500, with a median near $3,500. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for facet joint injection
The same facet joint injection bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $166–$5,749
- Professional fee $135–$416
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $183–$3,420
- Professional fee $135–$416
Estimated from CMS fee schedules + commercial rate multipliers
Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median.
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Why prices vary - and what it means for your coverage
A small number of hospitals (8) report prices above $2,034, including Milwaukee Hospital, LLC at $3,420, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $867 versus $496 inpatient, so where a procedure happens often matters more than which hospital you pick.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$867 |
| Deductible met - 20% coinsurance | ~$173 |
| Out-of-network provider | $1,907+ |
Frequently asked questions: facet joint injection costs in Wisconsin
How much does a facet joint injection cost in Wisconsin?
The typical insurer-negotiated rate is $674, with most facilities between $164 and $878 (based on 108 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Wisconsin hospitals run $337–$1,854; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a facet joint injection in Wisconsin?
Based on declared prices, the lowest posted price in our Wisconsin data is ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS in Sheboygan at about $337. By metro, Stevens Point has the lowest median ($608). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a facet joint injection so much cheaper at some Wisconsin hospitals?
Typical prices vary about 5.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $867 versus a median negotiated rate of $2,056 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a facet joint injection in Wisconsin?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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