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 |
|---|---|---|---|---|
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $3,906.07 – $16,624.00 | 4 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $3,906.07 – $16,624.00 | 4 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $3,906.07 – $13,962.00 | 4 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,178.90 | $7,598.00 | $1,522.84 – $4,982.00 | 4 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,522.84 – $8,124.00 | 4 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $2,036.00 – $6,044.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $2,036.00 – $6,044.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $1.11 – $1.53 | 3 |
| Cytogenetics 25-99 CPT 88274 | $185.35 | $337.00 | $31.78 – $283.12 | 5 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $30.52 – $205.97 | 5 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $870.00 – $6,925.34 | 5 |
| Cytogenom microarray copy nmbr var CPT 81228 | $3,749.90 | $6,818.00 | $675.00 – $5,166.48 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $55.00 | $100.00 | $10.79 – $117.06 | 5 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $15.95 | $29.00 | $12.64 – $47.30 | 5 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.06 – $97.49 | 5 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,394.12 – $3,437.94 | 5 |
| Cyto/molecular report CPT 88291 | $472.45 | $859.00 | $187.18 – $187.18 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $19.03 – $173.80 | 5 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $10.99 – $48.71 | 5 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $21.07 – $313.75 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $107.80 | $196.00 | $37.96 – $246.36 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $19.96 – $214.40 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $48.40 | $88.00 | $15.20 – $164.79 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $44.55 | $81.00 | $27.21 – $281.06 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $27.21 – $264.72 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $42.88 – $42.88 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $77.55 | $141.00 | $113.57 – $165.49 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $223.85 | $407.00 | $37.96 – $462.04 | 3 |
| Cytopath smear other source CPT 88160 | $78.10 | $142.00 | $21.07 – $260.64 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $37.96 – $366.02 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $90.20 | $164.00 | $21.07 – $223.87 | 3 |
| Cytopath tbs c/v manual CPT 88164 | $30.80 | $56.00 | $13.90 – $85.91 | 5 |
| Cytotoxic antibody screening CPT 86807 | $268.95 | $489.00 | $58.99 – $321.87 | 5 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $22.26 – $241.38 | 5 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $611.60 | $1,112.00 | $124.11 – $2,885.52 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $5.22 – $7.71 | 3 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $230.56 – $600.88 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $8.47 – $29.55 | 5 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $23.26 – $34.28 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.07 | 3 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.07 – $0.10 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $42.79 – $103.87 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.19 – $5.69 | 5 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.19 – $5.69 | 5 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $204.66 – $484.67 | 5 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $37.55 – $43.51 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $146.16 – $4,198.00 | 4 |
| D&c after delivery 59160 CPT 59160 | $2,665.85 | $4,847.00 | $2,358.24 – $8,124.00 | 4 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $7,045.50 | $12,810.00 | $2,358.24 – $8,124.00 | 4 |
| Dch glucoscan CPT 82948 | $6.05 | $11.00 | $3.78 – $25.79 | 5 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $271.85 – $362.46 | 2 |
| Dch validity tests CPT 81002 | $15.95 | $29.00 | $2.61 – $20.78 | 5 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,422.56 – $13,962.00 | 4 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,415.31 – $16,624.00 | 4 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Deamidated gliadin antibody iga CPT 86258 | $13.20 | $24.00 | $9.04 – $68.89 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $4,198.00 – $4,198.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $651.75 | $1,185.00 | $296.15 – $4,198.00 | 4 |
| Debridement (>20 cm) charge pt CPT 97598 | $603.90 | $1,098.00 | $2,036.00 – $2,036.00 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,329.35 | $2,417.00 | $296.15 – $4,198.00 | 4 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $42.98 – $4,198.00 | 4 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $42.98 – $4,198.00 | 4 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $3,061.30 | $5,566.00 | $515.87 – $4,198.00 | 4 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $4,198.00 – $4,198.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $4,198.00 – $4,198.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $146.16 – $4,198.00 | 4 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $515.87 – $4,198.00 | 4 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $538.41 – $4,198.00 | 4 |
| Decalcification CPT 88311 | $19.25 | $35.00 | $48.19 – $48.19 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $2.07 – $4.31 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $501.60 | $912.00 | $240.63 – $4,198.00 | 4 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,171.42 – $9,052.00 | 4 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,171.42 – $8,124.00 | 4 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Decompress fingers/hand CPT 26035 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Decompression fasct forearm CPT 24495 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Decompression of leg CPT 27892 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Decompression of leg CPT 27893 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Decompression of leg CPT 27894 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Decompression of lower leg CPT 27600 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Decompression of lower leg CPT 27601 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $2,383.65 – $8,124.00 | 4 |
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.