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 |
|---|---|---|---|---|
| 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 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,286.15 – $16,624.00 | 4 |
| 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 |
| Drainage of abdomen CPT 48000 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| 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 bone lesion CPT 26992 | not published | not published | $2,383.65 – $16,624.00 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $2,383.65 – $16,624.00 | 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 spinal cyst CPT 63172 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| 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 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $2,036.00 – $2,036.00 | 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 |
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.