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 |
|---|---|---|---|---|
| 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 screening tapentadol CPT 80372 | $50.05 | $91.00 | $140.94 – $140.94 | 1 |
| Drug screen quant tiagabine CPT 80199 | $104.50 | $190.00 | $20.33 – $146.88 | 5 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $140.94 – $140.94 | 1 |
| 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 def simple all cl HCPCS G0659 | not published | not published | $46.60 – $476.49 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $75.35 | $137.00 | $12.86 – $119.10 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $337.70 | $614.00 | $46.60 – $476.49 | 5 |
| Drvvt confirm - quest CPT 85597 | $102.30 | $186.00 | $13.48 – $146.23 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $296.15 – $4,198.00 | 4 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $296.15 – $4,198.00 | 4 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $538.41 – $4,198.00 | 4 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $538.41 – $4,198.00 | 4 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $400.67 – $3,193.00 | 3 |
| Ductogram sgl duct CPT 77053 | $408.10 | $742.00 | $173.82 – $327.10 | 3 |
| Duodenal exclusion CPT 48547 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $271.85 – $2,036.00 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,590.60 | $2,892.00 | $173.82 – $231.76 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | $795.30 | $1,446.00 | $76.16 – $101.55 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $132.00 | $240.00 | $76.16 – $101.55 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $441.10 | $802.00 | $157.30 – $209.73 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,449.25 | $2,635.00 | $173.82 – $231.76 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $65.96 – $161.98 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $76.16 – $330.02 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $93.74 – $124.98 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,651.10 | $3,002.00 | $1,296.65 – $4,982.00 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,651.10 | $3,002.00 | $1,296.65 – $4,982.00 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,881.00 | $3,420.00 | $1,296.65 – $4,982.00 | 4 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $325.44 – $433.92 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $660.74 – $4,198.00 | 4 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $660.74 – $4,198.00 | 4 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $157.30 – $4,198.00 | 4 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $93.74 – $4,198.00 | 4 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $230.38 – $230.38 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $621.96 – $621.96 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $199.69 – $199.69 | 1 |
| Dx laryngoscopy newborn CPT 31520 | $589.60 | $1,072.00 | $284.93 – $4,198.00 | 4 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,296.65 – $4,982.00 | 4 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $393.94 – $393.94 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $182.01 – $4,198.00 | 4 |
| Dynamic surface emg CPT 96002 | not published | not published | $157.30 – $209.73 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $392.90 – $2,036.00 | 3 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,863.00 – $13,962.00 | 4 |
| Ear irrigation 69209 CPT 69209 | $190.30 | $346.00 | $42.98 – $4,198.00 | 4 |
| Ear protector evaluation CPT 92596 | not published | not published | $27.21 – $36.28 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $446.96 – $1,101.98 | 5 |
| Ecg 12 lead tracing only CPT 93005 | $179.85 | $327.00 | $42.98 – $57.30 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $42.98 – $57.30 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $360.25 | $655.00 | $96.93 – $129.23 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $559.35 | $1,017.00 | $42.98 – $57.30 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $27.21 – $36.28 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $27.21 – $36.28 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,856.80 | $3,376.00 | $398.06 – $530.75 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $593.45 | $1,079.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,013.55 | $3,661.00 | $571.09 – $761.45 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $598.95 | $1,089.00 | $173.82 – $231.76 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $487.85 | $887.00 | $254.15 – $338.87 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $235.95 | $429.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $76.16 – $391.01 | 3 |
| Echo exam of eye CPT 76519 | not published | not published | $76.16 – $434.61 | 3 |
| Echo exam of eye CPT 76529 | not published | not published | $63.40 – $382.31 | 3 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $21.07 – $42.40 | 3 |
| Echo exam of fetal heart CPT 76825 | $1,251.80 | $2,276.00 | $398.06 – $1,580.98 | 3 |
| Echo exam of fetal heart CPT 76826 | $916.85 | $1,667.00 | $173.82 – $1,001.12 | 3 |
| Echo exam of fetal heart CPT 76827 | $910.80 | $1,656.00 | $76.16 – $385.21 | 3 |
| Echo exam of fetal heart CPT 76828 | $392.15 | $713.00 | $76.16 – $205.09 | 3 |
| Echo exam uterus 76831- CPT 76831 | $846.45 | $1,539.00 | $173.82 – $672.85 | 3 |
| Echograp trans r pros study CPT 76873 | not published | not published | $76.16 – $733.83 | 3 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $193.46 – $193.46 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $178.94 – $178.94 | 1 |
| Echo guide for amniocentesis CPT 76946 | $888.80 | $1,616.00 | $106.32 – $106.32 | 1 |
| Echo guide for artery repair CPT 76936 | $1,291.40 | $2,348.00 | $157.30 – $1,415.38 | 3 |
| Echo guide for heart biopsy CPT 76932 | $110.00 | $200.00 | $446.65 – $446.65 | 1 |
| Echo guide for transfusion CPT 76941 | $1,531.75 | $2,785.00 | $472.79 – $472.79 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $324.19 – $324.19 | 1 |
| Echo guide villus sampling CPT 76945 | $755.70 | $1,374.00 | $500.67 – $500.67 | 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.