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 |
|---|---|---|---|---|
| Drainage of arm bursa 23931 CPT 23931 | $1,775.95 | $3,229.00 | $1,203.19 – $4,982.00 | 4 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Drainage of eye CPT 65800 | $4,562.25 | $8,295.00 | $1,681.25 – $4,982.00 | 4 |
| Drainage of eye CPT 65810 | not published | not published | $1,681.25 – $8,124.00 | 4 |
| Drainage of eye CPT 65815 | not published | not published | $1,681.25 – $8,124.00 | 4 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,171.42 – $8,124.00 | 4 |
| Drainage of kidney lesion CPT 50390 | $706.75 | $1,285.00 | $515.87 – $4,198.00 | 4 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $172.55 – $4,198.00 | 4 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $2,415.31 – $4,982.00 | 4 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $392.90 – $4,198.00 | 4 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $392.90 – $4,198.00 | 4 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $2,415.31 – $4,982.00 | 4 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $172.55 – $4,198.00 | 4 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $392.90 – $4,198.00 | 4 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,171.42 – $8,124.00 | 4 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $871.75 – $4,982.00 | 4 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,022.07 – $4,982.00 | 4 |
| Drainage of salivary gland CPT 42305 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Drainage of salivary gland CPT 42320 | not published | not published | $392.90 – $4,198.00 | 4 |
| Drainage of throat abscess CPT 42725 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $1,522.84 – $8,124.00 | 4 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $507.98 – $8,124.00 | 4 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,522.84 – $8,124.00 | 4 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $625.59 – $4,982.00 | 4 |
| Drain blood from under nail 11740 CPT 11740 | $226.60 | $412.00 | $96.93 – $4,198.00 | 4 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,243.45 | $4,079.00 | $1,203.19 – $4,982.00 | 4 |
| Drain cath image guided visceral pq CPT 49405 | $2,748.90 | $4,998.00 | $1,203.19 – $4,982.00 | 4 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,048.30 | $1,906.00 | $514.23 – $4,198.00 | 4 |
| Drain chest lesion CPT 21502 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $175.41 | $318.92 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $750.75 | $1,365.00 | $146.16 – $4,198.00 | 4 |
| Drain lower leg bursa CPT 27604 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Drain lower leg lesion 27603 CPT 27603 | $4,914.25 | $8,935.00 | $2,116.08 – $8,124.00 | 4 |
| Drain neck/chest lesion 21501 CPT 21501 | $6,144.05 | $11,171.00 | $2,116.08 – $8,124.00 | 4 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Drain ovarn cyst abd CPT 58805 | $1,930.50 | $3,510.00 | $2,358.24 – $8,124.00 | 4 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,171.42 – $8,124.00 | 4 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $649.55 | $1,181.00 | $146.16 – $4,198.00 | 4 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $485.10 | $882.00 | $146.16 – $4,198.00 | 4 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,091.20 | $1,984.00 | $296.15 – $4,198.00 | 4 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $538.41 – $4,198.00 | 4 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $73.20 – $120.88 | 5 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,992.65 | $3,623.00 | $4,982.00 – $4,982.00 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $231.23 – $4,198.00 | 4 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Drng of hydrocele 55000 CPT 55000 | $1,663.75 | $3,025.00 | $515.87 – $4,198.00 | 4 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $392.90 – $4,198.00 | 4 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $2,147.75 | $3,905.00 | $2,358.24 – $8,124.00 | 4 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $871.75 – $4,982.00 | 4 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Drng of scrotum abscess 55100 CPT 55100 | $3,966.05 | $7,211.00 | $1,203.19 – $4,982.00 | 4 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $9,052.00 – $13,962.00 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $392.90 – $4,198.00 | 4 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.15 – $3.42 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $10.19 – $12.43 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $903.19 | $1,642.16 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $17.93 – $120.88 | 5 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $17.10 – $120.88 | 5 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $4.71 – $120.88 | 5 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $71.81 – $120.88 | 5 |
| Drug admin & hemodynmic meas CPT 93463 | $669.90 | $1,218.00 | $2,036.00 – $2,036.00 | 1 |
| Drug assay caffeine CPT 80155 | $44.00 | $80.00 | $28.93 – $115.06 | 5 |
| Drug assay posaconazole CPT 80187 | $85.25 | $155.00 | $20.33 – $161.86 | 5 |
| Drug assay rufinamide CPT 80210 | $216.15 | $393.00 | $20.33 – $161.86 | 5 |
| Drug assay vedolizumab CPT 80280 | $312.95 | $569.00 | $28.93 – $230.27 | 5 |
| Drug assay voriconazole CPT 80285 | $85.25 | $155.00 | $20.33 – $161.86 | 5 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $13.98 – $111.37 | 5 |
| Drug of abuse screen urine CPT 80305 | $52.80 | $96.00 | $9.45 – $89.30 | 5 |
| Drug screen quant tiagabine CPT 80199 | $104.50 | $190.00 | $20.33 – $146.88 | 5 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $149.06 – $991.24 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | $162.25 | $295.00 | $85.82 – $477.26 | 5 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $185.19 – $1,284.96 | 5 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $117.44 – $734.28 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $75.35 | $137.00 | $12.86 – $119.10 | 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.