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 |
|---|---|---|---|---|
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $3,644.28 – $16,624.00 | 4 |
| Establish access to aorta CPT 36160 | $319.00 | $580.00 | $2,036.00 – $2,036.00 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $415.80 | $756.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $69.30 | $126.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $92.40 | $168.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $131.45 | $239.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $219.45 | $399.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Estradiol total CPT 82670 | $273.35 | $497.00 | $20.96 – $227.21 | 5 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $10.59 – $14.69 | 3 |
| Estrogens total-sendout CPT 82672 | $37.40 | $68.00 | $16.28 – $176.48 | 5 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $410.45 – $987.08 | 5 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Ethylene glycol -sendout CPT 82693 | $39.60 | $72.00 | $11.18 – $45.98 | 5 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.55 – $2.48 | 3 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $66.04 – $143.95 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $73.60 – $223.26 | 5 |
| Euglobulin lysis CPT 85360 | not published | not published | $6.31 – $68.36 | 5 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $93.74 – $124.98 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $89.62 – $119.49 | 2 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $7.78 – $45.33 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $89.10 | $162.00 | $73.58 – $523.82 | 5 |
| Evaluation heart device CPT 93640 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $442.75 | $805.00 | $97.95 – $130.60 | 2 |
| Evaluation psychiatric diagnostic CPT 90791 | $468.60 | $852.00 | $129.31 – $172.41 | 2 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $9,716.30 | $17,666.00 | $17,504.00 – $17,504.00 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | $9,768.55 | $17,761.00 | $17,504.00 – $17,504.00 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $10,544.05 | $19,171.00 | $20,778.00 – $20,778.00 | 1 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $11,213.95 | $20,389.00 | $20,778.00 – $20,778.00 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $13,000.90 | $23,638.00 | $20,778.00 – $20,778.00 | 1 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $13,686.20 | $24,884.00 | $20,778.00 – $20,778.00 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $10,156.30 | $18,466.00 | $17,504.00 – $17,504.00 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Event monitor CPT 93270 | not published | not published | $27.19 – $36.25 | 2 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $271.85 – $362.46 | 2 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $157.30 – $209.73 | 2 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $340.45 | $619.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $608.85 | $1,107.00 | $157.30 – $209.73 | 2 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $157.30 – $209.73 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $222.00 – $4,198.00 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $2,908.95 | $5,289.00 | $2,358.24 – $8,124.00 | 4 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $6,044.00 – $8,124.00 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $6,044.00 – $18,955.00 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $515.87 – $4,198.00 | 4 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $515.87 – $4,198.00 | 4 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $515.87 – $4,198.00 | 4 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $515.87 – $4,198.00 | 4 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $645.70 | $1,174.00 | $296.15 – $4,198.00 | 4 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $515.87 – $4,198.00 | 4 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $2,852.39 – $8,124.00 | 4 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $3,644.28 – $16,624.00 | 4 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $3,644.28 – $13,962.00 | 4 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $2,383.65 – $8,124.00 | 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.