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 |
|---|---|---|---|---|
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $31.08 – $149.63 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.68 – $2.57 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $2.43 – $3.85 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $4.87 – $6.66 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $9.35 | $17.00 | $16.67 – $180.82 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $125.40 | $228.00 | $7.28 – $78.94 | 5 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $27.30 – $36.39 | 2 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $11.62 – $15.49 | 2 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,296.65 – $4,982.00 | 4 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $4,404.16 – $21,366.00 | 4 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $325.44 – $4,198.00 | 4 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $871.75 – $4,982.00 | 4 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $384.45 | $699.00 | $96.93 – $4,198.00 | 4 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $955.18 – $955.18 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $748.84 – $748.84 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $139.15 | $253.00 | $145.41 – $4,198.00 | 4 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $301.40 | $548.00 | $145.41 – $4,198.00 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $366.30 | $666.00 | $79.11 – $984.38 | 3 |
| Diagnostic Mammogram (one breast) CPT 77065 | $183.70 | $334.00 | $61.76 – $769.16 | 3 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $63.40 – $84.53 | 2 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,269.20 | $5,944.00 | $2,036.00 – $2,036.00 | 1 |
| Dialysis one evaluation CPT 90945 | $407.00 | $740.00 | $303.98 – $405.30 | 2 |
| Diathermy eg microwave CPT 97024 | not published | not published | $5.18 – $6.91 | 2 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.10 – $0.14 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $7.90 – $15.82 | 3 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $18.65 – $27.57 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $7.08 – $16.32 | 3 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,037.49 – $9,440.30 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $134.75 | $245.00 | $9.96 – $108.02 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $68.32 – $184.44 | 3 |
| Dilate biliary duct/ampulla CPT 47542 | $3,570.05 | $6,491.00 | $2,036.00 – $2,036.00 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $660.74 – $4,198.00 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,249.50 | $4,090.00 | $19,855.00 – $19,855.00 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $2,249.50 | $4,090.00 | $19,855.00 – $19,855.00 | 1 |
| Dilate ic vasospasm init CPT 61640 | $4,224.00 | $7,680.00 | $19,855.00 – $19,855.00 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $325.44 – $4,198.00 | 4 |
| Dilate urethra stricture CPT 53600 | not published | not published | $182.01 – $4,198.00 | 4 |
| Dilate urethra stricture CPT 53601 | not published | not published | $96.93 – $4,198.00 | 4 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,567.95 – $4,982.00 | 4 |
| Dilate urethra stricture CPT 53621 | not published | not published | $182.01 – $4,198.00 | 4 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $93.74 – $4,198.00 | 4 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $871.75 – $4,982.00 | 4 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $871.75 – $4,982.00 | 4 |
| Dilation of salivary duct CPT 42660 | $653.95 | $1,189.00 | $392.90 – $4,198.00 | 4 |
| Dilation of urethra CPT 53661 | not published | not published | $96.93 – $4,198.00 | 4 |
| Dilation of urethra CPT 53665 | not published | not published | $1,522.84 – $8,124.00 | 4 |
| Dilation of vagina CPT 57400 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $507.98 – $4,198.00 | 4 |
| Dilator fascial 10fx20cm HCPCS C2627 | $82.05 | $149.19 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,837.90 | $6,978.00 | $2,567.95 – $8,124.00 | 4 |
| Dilat xst trc new access rcs CPT 50437 | $6,455.90 | $11,738.00 | $2,567.95 – $9,052.00 | 4 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.07 – $0.07 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $12.11 – $16.04 | 3 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $561.66 – $1,411.50 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.96 – $1.72 | 3 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $27.21 – $36.28 | 2 |
| Disability dlco CPT 94727 | not published | not published | $157.30 – $209.73 | 2 |
| Disaccharidases CPT 82657 | $358.05 | $651.00 | $16.63 – $146.88 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Discography cerv/thor spine CPT 72285 | $1,162.15 | $2,113.00 | $431.70 – $1,896.75 | 3 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,296.65 – $4,982.00 | 4 |
| Dissolve clot heart vessel CPT 92975 | $2,070.20 | $3,764.00 | $4,198.00 – $4,198.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $3,863.00 – $13,962.00 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $140.94 – $140.94 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $10,027.60 | $18,232.00 | $647.39 – $647.39 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $209.25 – $836.67 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $102.75 – $817.91 | 5 |
| Dna antibody native/double stranded CPT 86225 | $187.55 | $341.00 | $10.30 – $111.72 | 5 |
| Dna gardnerella CPT 87510 | $28.05 | $51.00 | $15.04 – $163.11 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $17.06 – $163.11 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $20.16 – $163.11 | 5 |
| Dna trichomonas CPT 87660 | $28.05 | $51.00 | $15.04 – $163.11 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $10.99 – $15.16 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.72 – $1.35 | 3 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $34.72 – $96.59 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $1.03 – $1.42 | 3 |
| Doppler echo complete CPT 93320 | $455.40 | $828.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,775.95 | $3,229.00 | $2,036.00 – $2,036.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $664.95 | $1,209.00 | $157.30 – $209.73 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $218.90 | $398.00 | $96.93 – $129.23 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $77.48 – $104.80 | 3 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $188.47 – $463.26 | 5 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $4.57 – $6.14 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $87.45 – $251.69 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.17 – $0.22 | 2 |
| Dpyd gene common variants CPT 81232 | $613.80 | $1,116.00 | $131.11 – $1,003.52 | 5 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $515.87 – $4,198.00 | 4 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $515.87 – $4,198.00 | 4 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Drainage external ear simple 69000 CPT 69000 | $566.50 | $1,030.00 | $515.87 – $4,198.00 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,116.08 – $4,982.00 | 4 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $172.55 – $4,198.00 | 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.