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 |
|---|---|---|---|---|
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $2,415.60 | $4,392.00 | $392.90 – $4,198.00 | 4 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $726.23 – $4,982.00 | 4 |
| Closure of salivary fistula CPT 42600 | not published | not published | $2,415.31 – $4,982.00 | 4 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Closure paravalvlr leak pq CPT 33999 | $516.45 | $939.00 | $456.99 – $14,021.00 | 4 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $14.20 – $154.02 | 5 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $15.32 – $166.11 | 5 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $14.20 – $154.02 | 5 |
| Clot factor xii hageman CPT 85280 | $96.25 | $175.00 | $14.51 – $157.37 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | $47.30 | $86.00 | $6.83 – $72.35 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | $258.50 | $470.00 | $12.26 – $132.90 | 5 |
| Clotting assay whole blood CPT 85396 | not published | not published | $122.43 – $122.43 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $746.35 | $1,357.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $1,096.70 | $1,994.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $1,004.85 | $1,827.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $1,004.85 | $1,827.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $897.05 | $1,631.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $397.10 | $722.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $746.35 | $1,357.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,352.80 | $6,096.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $608.30 | $1,106.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $897.05 | $1,631.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $1,004.85 | $1,827.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,225.40 | $2,228.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,884.85 | $3,427.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $858.00 | $1,560.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $923.45 | $1,679.00 | $203.76 – $4,198.00 | 4 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $392.90 – $4,198.00 | 4 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $2,036.10 | $3,702.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $2,415.31 – $4,982.00 | 4 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,225.40 | $2,228.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $665.50 | $1,210.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,409.10 | $2,562.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $897.05 | $1,631.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,263.25 | $4,115.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $1,004.85 | $1,827.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,221.45 | $4,039.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,690.70 | $3,074.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,297.25 | $5,995.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $696.85 | $1,267.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $712.80 | $1,296.00 | $179.70 – $4,198.00 | 4 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,086.25 | $1,975.00 | $1,171.42 – $4,982.00 | 4 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $179.70 – $4,198.00 | 4 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $179.70 – $4,198.00 | 4 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $179.70 – $4,198.00 | 4 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,858.90 | $5,198.00 | $1,171.42 – $4,982.00 | 4 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $179.70 – $4,198.00 | 4 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $179.70 – $4,198.00 | 4 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,903.00 | $3,460.00 | $1,171.42 – $4,982.00 | 4 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Cltx post ankle fx CPT 27767 | not published | not published | $179.70 – $4,198.00 | 4 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $179.70 – $4,198.00 | 4 |
| Cltx thigh fx CPT 27267 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $3,644.28 – $13,962.00 | 4 |
| C motor evoked lwr limbs CPT 95929 | $599.50 | $1,090.00 | $271.85 – $362.46 | 2 |
| C motor evoked uppr limbs CPT 95928 | $599.50 | $1,090.00 | $625.59 – $834.12 | 2 |
| C motor evoked upr&lwr limbs CPT 95939 | $599.50 | $1,090.00 | $625.59 – $834.12 | 2 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $42.98 – $57.30 | 2 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $42.98 – $57.30 | 2 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $10.55 – $48.71 | 5 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $6.60 – $67.23 | 5 |
| #cmvcul-virus inoculation shell CPT 87254 | $88.00 | $160.00 | $14.67 – $159.12 | 5 |
| Cmv pcr-sendout CPT 87496 | $119.90 | $218.00 | $26.32 – $285.37 | 5 |
| Co2 monitor per day CPT 94681 | not published | not published | $271.85 – $362.46 | 2 |
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.