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 |
|---|---|---|---|---|
| Chlamydia culture CPT 87110 | $33.00 | $60.00 | $14.70 – $159.35 | 5 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $8.98 – $97.49 | 5 |
| Chlamydia type CPT 87140 | $30.25 | $55.00 | $4.18 – $37.11 | 5 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $159.14 – $159.14 | 1 |
| Chloride CPT 82435 | $34.65 | $63.00 | $3.45 – $37.38 | 5 |
| Chloride 24 hour urine CPT 82436 | $41.25 | $75.00 | $4.31 – $40.89 | 5 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.04 – $0.07 | 3 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.87 – $1.14 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $47.10 – $111.85 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $42.11 – $56.39 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $240.63 – $320.84 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | $2,403.50 | $4,370.00 | $2,608.32 – $9,052.00 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,159.95 | $2,109.00 | $275.88 – $275.88 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,396.25 | $6,175.00 | $2,608.32 – $9,052.00 | 4 |
| Cholesterol CPT 82465 | $37.95 | $69.00 | $3.26 – $35.34 | 5 |
| Cholesterol body fluid CPT 84999 | $876.15 | $1,593.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $124.85 | $227.00 | $10.04 – $108.90 | 5 |
| Cholinesterase CPT 82480 | $12.10 | $22.00 | $5.90 – $64.06 | 5 |
| Cholinesterase challenge CPT 95857 | not published | not published | $157.30 – $209.73 | 2 |
| Chorion biopsy CPT 59015 | $986.70 | $1,794.00 | $670.98 – $4,198.00 | 4 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $26.46 – $36.39 | 3 |
| Chrom analysis CPT 88273 | $324.50 | $590.00 | $26.11 – $261.32 | 5 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $29.25 – $68.25 | 5 |
| Chromatography CPT 83021 | $189.20 | $344.00 | $13.54 – $146.88 | 5 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $8.92 – $96.72 | 5 |
| Chromo high res and frag x - sendout CPT 81243 | $574.20 | $1,044.00 | $42.78 – $327.44 | 5 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $130.24 – $1,352.67 | 5 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $129.88 – $1,408.37 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $503.80 | $916.00 | $94.12 – $1,013.68 | 5 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $129.88 – $1,210.63 | 5 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $112.72 – $1,222.28 | 5 |
| Chromosome analysis 5 CPT 88261 | $137.50 | $250.00 | $198.26 – $1,437.37 | 5 |
| Chromosome analysis 50-100 CPT 88248 | $26.40 | $48.00 | $129.88 – $1,408.37 | 5 |
| Chromosome analys placenta CPT 88267 | $336.05 | $611.00 | $141.43 – $1,462.03 | 5 |
| Chromosome banding study CPT 88283 | not published | not published | $51.45 – $557.91 | 5 |
| Chromosome count additional CPT 88285 | not published | not published | $20.18 – $154.50 | 5 |
| Chromosome karyotype study CPT 88280 | $336.05 | $611.00 | $25.10 – $204.12 | 5 |
| Chromosome study additional CPT 88289 | $251.35 | $457.00 | $25.82 – $280.07 | 5 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $9.34 – $101.39 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $46.12 – $279.40 | 5 |
| Cidofovir injection HCPCS J0740 | not published | not published | $401.80 – $1,005.81 | 5 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $10.02 – $13.32 | 3 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $440,983.32 – $1,051,419.78 | 5 |
| Cine/video x-rays CPT 76120 | not published | not published | $76.16 – $521.76 | 3 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $258.45 – $258.45 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.54 – $4.41 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,522.84 – $8,124.00 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $507.98 – $8,124.00 | 4 |
| Circumcision (newborn) CPT 54150 | $375.65 | $683.00 | $1,522.84 – $8,124.00 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $3.70 – $4.98 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,714.90 | $3,118.00 | $247.13 – $1,967.22 | 5 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $6.14 – $20.85 | 5 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $11,975.38 | $21,773.41 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $392.90 – $4,198.00 | 4 |
| Clearance of airways CPT 31720 | $258.50 | $470.00 | $159.52 – $4,198.00 | 4 |
| Clearance of tear duct CPT 68530 | not published | not published | $231.23 – $4,198.00 | 4 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $96.93 – $129.23 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $96.93 – $129.23 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $96.93 – $129.23 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $27.21 – $36.28 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $2.33 – $3.94 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $508.07 | $923.77 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Cllr miami j sm HCPCS L0174 | $178.59 | $324.71 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $12.18 – $27.96 | 5 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $23.49 – $33.58 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $590.70 | $1,074.00 | $179.70 – $4,198.00 | 4 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,217.15 | $2,213.00 | $1,171.42 – $4,982.00 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,171.42 – $4,198.00 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $179.70 – $4,198.00 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,409.10 | $2,562.00 | $1,171.42 – $8,124.00 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $179.70 – $4,198.00 | 4 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,234.10 | $4,062.00 | $1,171.42 – $4,982.00 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $503.80 | $916.00 | $179.70 – $4,198.00 | 4 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $392.90 – $4,198.00 | 4 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,068.45 | $5,579.00 | $1,171.42 – $4,982.00 | 4 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $2,415.31 – $4,982.00 | 4 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $179.70 – $4,198.00 | 4 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $897.05 | $1,631.00 | $179.70 – $4,198.00 | 4 |
| Closed tx vert fx w/manj CPT 22315 | $3,741.65 | $6,803.00 | $2,383.65 – $6,044.00 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $595.10 | $1,082.00 | $172.55 – $4,198.00 | 4 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Close tear duct opening CPT 68760 | not published | not published | $231.23 – $4,198.00 | 4 |
| Close tear duct opening CPT 68761 | not published | not published | $231.23 – $4,198.00 | 4 |
| Close tear system fistula CPT 68770 | not published | not published | $1,732.00 – $4,982.00 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.00 – $97.49 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,841.95 | $3,349.00 | $1,130.33 – $4,982.00 | 4 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $6,044.00 – $6,044.00 | 1 |
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.