Heart Catheterization Cost in Wisconsin (2026): Average Prices & What You'll Pay
What does a heart catheterization cost in Wisconsin?
You could pay $2,059 or $3,268 for the same heart catheterization in Wisconsin - depending entirely on which facility you choose. The median cash price across 96 reporting hospitals is $3,104. This data comes directly 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 heart catheterization costs vary in Wisconsin
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics 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 heart catheterization depends on where you go and what is billed separately. Most patients find out after.
Your personalized cost report includes:
- ✓ Diagnostic vs. treatment: If a blockage is treated during the same visit (a stent, for example), the bill moves to a different and much higher-priced procedure.
- ✓ Supplies and recovery: Catheters, contrast dye and the recovery room are billed as separate lines at many hospitals.
- ✓ Which bills usually arrive separately, and which providers to check are in-network
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Cheapest Heart Catheterization Providers in Wisconsin
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($3,104) |
|---|---|---|---|---|
| 1 | Aurora Medical Center Summit | Summit, WI | $1,894 | $1,210 below |
| 2 | Aurora Medical Center Burlington | Burlington, WI | $1,894 | $1,210 below |
| 3 | Aurora BayCare Medical Center | Green Bay, WI | $1,894 | $1,210 below |
| 4 | Aurora Medical Center Kenosha | Kenosha, WI | $1,894 | $1,210 below |
| 5 | Aurora Medical Center Bay Area | Marinette, WI | $1,894 | $1,210 below |
| 6 | Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $1,894 | $1,210 below |
| 7 | Aurora Medical Center Oshkosh | Oshkosh, WI | $1,894 | $1,210 below |
| 8 | Aurora Medical Center Grafton | Grafton, WI | $1,894 | $1,210 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
- Aurora Medical Center Summit is the lowest-cost option at $1,894 - $1,210 below the median posted price ($3,104), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,104, and it's often lower than what insurance pays before your deductible is satisfied.
- Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $3,312 to $3,312 | $3,312 |
| With insurance (commercial, average) | 62 | $643 to $10,005 | $7,934 |
| Without insurance (cash price) | 105 | $1,894 to $6,347 | $3,104 |
| Anthem Blue Cross and Blue Shield | 50 | $455 to $10,643 | $7,739 |
| UnitedHealthcare | 37 | $920 to $12,490 | $11,716 |
| Aetna | 22 | $8,995 to $13,144 | $11,139 |
| Humana | 6 | $531 to $5,842 | $930 |
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 heart catheterization cost with Medicare in Wisconsin?
Medicare's national hospital outpatient payment for heart catheterization is about $3,312 to $3,312 (typically near $3,312). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $662 on a $3,312 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 heart catheterization cost with insurance in Wisconsin?
Across 62 Wisconsin hospitals, the negotiated rates commercial insurers pay for heart catheterization average $643 to $10,005 per hospital, with a median near $7,934. 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 heart catheterization cost without insurance in Wisconsin?
Cash (self-pay) prices for heart catheterization at 105 Wisconsin hospitals range from $1,894 to $6,347, with a median of $3,104. 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 heart catheterization cost with Anthem Blue Cross and Blue Shield in Wisconsin?
Anthem Blue Cross and Blue Shield negotiated rates for heart catheterization at 50 Wisconsin hospitals range from $455 to $10,643, with a median near $7,739. 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 heart catheterization cost with UnitedHealthcare in Wisconsin?
UnitedHealthcare negotiated rates for heart catheterization at 37 Wisconsin hospitals range from $920 to $12,490, with a median near $11,716. 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 heart catheterization cost with Aetna in Wisconsin?
Aetna negotiated rates for heart catheterization at 22 Wisconsin hospitals range from $8,995 to $13,144, with a median near $11,139. 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 heart catheterization cost with Humana in Wisconsin?
Humana negotiated rates for heart catheterization at 6 Wisconsin hospitals range from $531 to $5,842, with a median near $930. If a hospital is out of network for your Humana plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for heart catheterization
The same heart catheterization 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 $1,502–$13,913
- Professional fee $1,233–$5,236
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $2,302–$8,787
- Professional fee $1,233–$5,236
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 (16) report prices above $5,626, including Children's Hospital of Wisconsin at $13,913, 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 $3,104 versus $4,769 inpatient (about 1.5× more), 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 | ~$3,104 |
| Deductible met - 20% coinsurance | ~$621 |
| Out-of-network provider | $6,829+ |
Frequently asked questions: heart catheterization costs in Wisconsin
How much does a heart catheterization cost in Wisconsin?
The typical insurer-negotiated rate is $1,894, with most facilities between $533 and $3,090 (based on 96 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Wisconsin hospitals run $1,894–$6,347; 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 heart catheterization in Wisconsin?
Based on declared prices, the lowest posted price in our Wisconsin data is Aurora Medical Center Summit in Summit at about $1,894. By metro, Milwaukee has the lowest median ($1,894).
Why is a heart catheterization so much cheaper at some Wisconsin hospitals?
Typical prices vary about 5.8× (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 $3,104 versus a median negotiated rate of $7,934 - 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 heart catheterization 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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- 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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