SSM Health St. Mary's Hospital - Madison
700 South Park St, Madison, WI · SSM Health · · NPI 1902290034
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $37.40 | $68.00 | $21.96 – $238.09 | 5 |
| 17-hydroxypregnenolone CPT 84143 | $37.40 | $68.00 | $17.11 – $185.56 | 5 |
| 17-ketosteroids CPT 83586 | $25.85 | $47.00 | $9.60 – $104.12 | 5 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $26.94 – $214.64 | 5 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $96.93 – $129.23 | 2 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,010.35 | $1,837.00 | $571.09 – $761.45 | 2 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $571.09 – $761.45 | 2 |
| 2nd order venous cath CPT 36012 | $601.15 | $1,093.00 | $2,036.00 – $2,036.00 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $93.74 – $124.98 | 2 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $93.74 – $124.98 | 2 |
| 3d ech img cgen car anomal CPT 93319 | $327.25 | $595.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $1,989.90 | $3,618.00 | $1,008.34 – $2,193.32 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $413.60 | $752.00 | $106.32 – $106.32 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $18.15 | $33.00 | $8.36 – $90.69 | 5 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $156.75 | $285.00 | $123.78 – $123.78 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $34.39 – $84.54 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $33.55 | $61.00 | $9.01 – $47.30 | 5 |
| Abd aorta w/runoff s&i CPT 75630 | $4,286.70 | $7,794.00 | $669.92 – $3,066.96 | 3 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $7,493.20 | $13,624.00 | $2,036.00 – $2,036.00 | 1 |
| Abd/low ext cath 2nd CPT 36246 | $1,656.05 | $3,011.00 | $2,036.00 – $2,036.00 | 1 |
| Abd/low ext cath 3rd CPT 36247 | $1,718.75 | $3,125.00 | $2,036.00 – $2,036.00 | 1 |
| Abd/low ext cath addl CPT 36248 | $279.95 | $509.00 | $2,036.00 – $2,036.00 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,885.40 | $3,428.00 | $127.78 – $1,556.01 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,727.00 | $3,140.00 | $127.78 – $1,352.64 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,570.25 | $2,855.00 | $76.16 – $725.12 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,999.15 | $5,453.00 | $254.15 – $3,190.47 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $2,490.40 | $4,528.00 | $254.15 – $2,981.30 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $2,357.30 | $4,286.00 | $173.82 – $2,106.81 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,970.10 | $3,582.00 | $660.74 – $4,198.00 | 4 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,016.40 | $1,848.00 | $76.16 – $672.85 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $945.45 | $1,719.00 | $76.16 – $504.32 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $4,837.36 – $17,504.00 | 4 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,044.45 | $1,899.00 | $660.74 – $4,198.00 | 4 |
| Abl1 gene CPT 81170 | $838.20 | $1,524.00 | $225.00 – $1,967.22 | 5 |
| Ablate arrhythmia add on CPT 93655 | $1,324.95 | $2,409.00 | $2,036.00 – $2,036.00 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Ablate bone tumor(s) perq CPT 20982 | $15,383.50 | $27,970.00 | $12,773.37 – $19,855.00 | 4 |
| Ablate heart dysrhythm focus CPT 93650 | $5,570.95 | $10,129.00 | $5,682.05 – $18,955.00 | 4 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Ablate pulm tumor perq crybl CPT 32994 | $9,444.05 | $17,171.00 | $7,743.83 – $21,366.00 | 4 |
| Ablate pulm tumor perq rf CPT 32998 | $12,336.50 | $22,430.00 | $4,404.16 – $21,366.00 | 4 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,260.95 | $5,929.00 | $93.74 – $2,036.00 | 3 |
| Ablation cryo abd perit om CPT 49999 | $10,366.95 | $18,849.00 | $660.74 – $14,021.00 | 4 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,404.16 – $18,955.00 | 4 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $179.70 – $4,198.00 | 4 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $7,743.83 – $21,366.00 | 4 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $321.40 – $14,021.00 | 4 |
| Ablation cryo thigh/knee CPT 27599 | $5,112.80 | $9,296.00 | $179.70 – $14,021.00 | 4 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $7,743.83 – $10,325.10 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,620.85 | $2,947.00 | $223.61 – $14,021.00 | 4 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,203.19 – $21,366.00 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,896.31 – $13,962.00 | 4 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $9,611.43 – $14,021.00 | 3 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $6.71 – $17.42 | 5 |
| Abortion CPT 59850 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $222.00 – $4,198.00 | 4 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $146.16 – $4,198.00 | 4 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,243.45 | $4,079.00 | $1,203.19 – $4,982.00 | 4 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $768.90 | $1,398.00 | $2,036.00 – $2,036.00 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.07 – $0.10 | 3 |
| Acetaminophen level CPT 80143 | $210.65 | $383.00 | $13.98 – $111.30 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $27.64 – $40.00 | 3 |
| Acetone qualitative CPT 82009 | $27.50 | $50.00 | $3.39 – $36.77 | 5 |
| Acetylcholine receptor modulating antibody CPT 86043 | $41.80 | $76.00 | $9.04 – $56.40 | 5 |
| Acetylcholinesterase assay CPT 82013 | $85.25 | $155.00 | $9.22 – $90.82 | 5 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.65 – $1.02 | 3 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $12.24 – $16.89 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $271.85 – $2,036.00 | 3 |
| Acne surgery 10040 CPT 10040 | not published | not published | $146.16 – $4,198.00 | 4 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $129.31 – $172.41 | 2 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $27.30 – $36.39 | 2 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $8.98 – $11.97 | 2 |
| Acoustic immitance testing CPT 92570 | not published | not published | $93.74 – $124.98 | 2 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $27.21 – $36.28 | 2 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,383.65 – $16,624.00 | 4 |
| Actigraphy testing CPT 95803 | not published | not published | $42.98 – $57.30 | 2 |
| Actinotherapy uv light CPT 96900 | not published | not published | $27.21 – $36.28 | 2 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $21.07 – $28.09 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $21.07 – $28.09 | 2 |
| Acute hepatitis panel CPT 80074 | $266.75 | $485.00 | $35.72 – $387.40 | 5 |
| Acute venous thrombus image CPT 78456 | not published | not published | $943.15 – $2,261.32 | 3 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.06 – $0.09 | 3 |
| #acylcarnitineprfl CPT 82017 | $117.15 | $213.00 | $12.65 – $117.20 | 5 |
| Acylcarnitines qual CPT 82016 | $125.40 | $228.00 | $12.37 – $112.79 | 5 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $129.31 – $172.41 | 2 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,212.67 | $2,204.86 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $118.38 – $4,198.00 | 4 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.57 – $0.87 | 3 |
| Adenovirus ag ia CPT 87301 | not published | not published | $8.98 – $97.49 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | $86.90 | $158.00 | $9.65 – $47.30 | 5 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $16.32 – $97.49 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.