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 |
|---|---|---|---|---|
| Ep & ablate supravent arrhyt CPT 93653 | $17,878.30 | $32,506.00 | $14,021.00 – $40,147.00 | 4 |
| Ep & ablate ventric tachy CPT 93654 | $27,806.90 | $50,558.00 | $14,021.00 – $40,147.00 | 4 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $43.49 – $105.75 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $3,547.50 | $6,450.00 | $2,036.00 – $2,036.00 | 1 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $644.34 – $4,198.00 | 4 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $644.34 – $4,198.00 | 4 |
| Epiglottidectomy CPT 31420 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Epikeratoplasty CPT 65767 | not published | not published | $6,044.00 – $8,124.00 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,836.42 – $14,618.28 | 5 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $886.98 – $3,863.00 | 3 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $4.13 – $4.13 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $2.51 – $2.51 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.10 – $1.10 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $4.34 – $4.34 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,383.65 – $16,624.00 | 4 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $2,383.65 – $16,624.00 | 4 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $2.16 – $3.02 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,296.15 | $5,993.00 | $2,358.24 – $8,124.00 | 4 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.03 – $1.46 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $5.98 – $14.38 | 5 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $5.16 – $14.58 | 5 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.56 – $2.69 | 3 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.56 – $2.69 | 3 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $23.32 – $30.78 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $14.30 | $26.00 | $9.84 – $106.70 | 5 |
| Epstein barr nuclear antigen antibody CPT 86664 | $14.30 | $26.00 | $11.47 – $124.42 | 5 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $14.30 | $26.00 | $13.60 – $147.59 | 5 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $15.83 – $37.71 | 5 |
| Ercp biliary & pancreas CPT 74330 | $764.50 | $1,390.00 | $993.79 – $993.79 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $4,422.65 – $13,962.00 | 4 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $2,808.71 – $8,124.00 | 4 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $2,808.71 – $8,124.00 | 4 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $4,422.65 – $13,962.00 | 4 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,808.71 – $8,124.00 | 4 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,397.92 – $8,124.00 | 4 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,397.92 – $8,124.00 | 4 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $4,422.65 – $13,962.00 | 4 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,808.71 – $8,124.00 | 4 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $44.98 – $246.64 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $13.31 – $20.37 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $436.15 | $793.00 | $61.43 – $81.91 | 2 |
| ER Visit (level 2) CPT 99282 | $652.85 | $1,187.00 | $111.86 – $149.14 | 2 |
| ER Visit (level 3) CPT 99283 | $1,062.60 | $1,932.00 | $198.86 – $265.15 | 2 |
| ER Visit (level 4) CPT 99284 | $1,441.00 | $2,620.00 | $303.98 – $405.30 | 2 |
| ER Visit (level 5, high severity) CPT 99285 | $2,294.05 | $4,171.00 | $433.84 – $578.46 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $95.64 – $142.60 | 3 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $3,863.00 – $4,198.00 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,808.71 – $8,124.00 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.58 – $0.79 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.38 – $0.54 | 3 |
| Esophageal dilat s&i CPT 74360 | $558.80 | $1,016.00 | $731.24 – $731.24 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $291.23 – $1,565.26 | 3 |
| Esophageal recording CPT 93615 | not published | not published | $886.98 – $3,863.00 | 3 |
| Esophageal recording CPT 93616 | not published | not published | $886.98 – $3,863.00 | 3 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $2,808.71 – $3,744.95 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $660.74 – $4,198.00 | 4 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscop stent placement CPT 43212 | $5,064.95 | $9,209.00 | $4,422.65 – $13,962.00 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $660.74 – $4,198.00 | 4 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $660.74 – $4,198.00 | 4 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy lesion ablate CPT 43229 | $4,690.40 | $8,528.00 | $2,808.71 – $8,124.00 | 4 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,397.92 – $8,124.00 | 4 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,808.71 – $6,044.00 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,397.92 – $6,044.00 | 4 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esophagus motility study CPT 91010 | not published | not published | $271.85 – $2,036.00 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $271.85 – $2,036.00 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | $2,668.05 | $4,851.00 | $1,397.92 – $4,982.00 | 4 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $157.30 – $2,036.00 | 3 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $271.85 – $2,036.00 | 3 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,397.92 – $4,982.00 | 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.