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 |
|---|---|---|---|---|
| Extensive prostate surgery CPT 55810 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive prostate surgery CPT 55812 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive prostate surgery CPT 55815 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive prostate surgery CPT 55840 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive prostate surgery CPT 55842 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive prostate surgery CPT 55845 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive prostate surgery CPT 55862 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Extensive prostate surgery CPT 55865 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive removal of liver CPT 47122 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Extensive sternum surgery CPT 21632 | not published | not published | $6,044.00 – $18,955.00 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Extensive surgery of throat CPT 42844 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Extensive surgery of throat CPT 42845 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $2,567.95 – $9,052.00 | 4 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $8,124.00 – $13,962.00 | 2 |
| Extensive vulva surgery CPT 56632 | not published | not published | $13,962.00 – $27,690.00 | 2 |
| External cannula declotting CPT 36860 | not published | not published | $1,146.77 – $4,198.00 | 4 |
| External chromosome analysis 20-25 cells CPT 88264 | $503.80 | $916.00 | $108.46 – $1,013.68 | 5 |
| External newborn metabolic screening panel HCPCS S3620 | $310.20 | $564.00 | not published | 0 |
| External ocular photography CPT 92285 | not published | not published | $27.21 – $36.28 | 2 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $23.65 | $43.00 | $21.07 – $194.05 | 3 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $7,757.20 | $14,104.00 | $2,904.75 – $20,414.46 | 5 |
| External recharg sys intern HCPCS L8689 | $2,370.62 | $4,310.21 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $503.80 | $916.00 | $107.81 – $405.09 | 5 |
| Extnd color vision xm CPT 92283 | not published | not published | $42.98 – $57.30 | 2 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $66.00 | $120.00 | $13.45 – $145.86 | 5 |
| Extraction of lens CPT 66930 | not published | not published | $3,011.20 – $13,962.00 | 4 |
| Extraction of lens CPT 66940 | not published | not published | $1,681.25 – $4,982.00 | 4 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,681.25 – $8,124.00 | 4 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $96.93 – $129.23 | 2 |
| Eye allergy tests CPT 95060 | not published | not published | $96.93 – $129.23 | 2 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $131.55 – $1,047.16 | 5 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $212.16 – $1,688.85 | 5 |
| F-18 fdg pet diag HCPCS A9552 | $282.70 | $514.00 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $2,949.65 | $5,363.00 | not published | 0 |
| F9 full gene sequence CPT 81238 | not published | not published | $450.00 – $3,444.32 | 5 |
| Face bone graft CPT 21210 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Facial bones <3 CPT 70140 | $282.15 | $513.00 | $63.40 – $152.80 | 3 |
| Facial nerve function test CPT 92516 | not published | not published | $157.30 – $209.73 | 2 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $2,415.31 – $3,220.41 | 2 |
| Factor ix CPT 85250 | $99.00 | $180.00 | $14.28 – $154.88 | 5 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $2.78 – $6.89 | 5 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.31 – $3.24 | 5 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.13 – $10.15 | 5 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.05 – $2.54 | 5 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $3.51 – $8.70 | 5 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.29 – $3.05 | 5 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.40 – $3.56 | 5 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.65 – $4.56 | 5 |
| Factor viii CPT 85240 | $96.80 | $176.00 | $13.42 – $56.91 | 5 |
| Factor viii HCPCS J7190 | not published | not published | $0.93 – $2.15 | 5 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $1.93 – $4.60 | 5 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $0.92 – $2.29 | 5 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.59 – $4.09 | 5 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.18 – $2.92 | 5 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.08 – $2.88 | 5 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $2.43 – $6.14 | 5 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $8.43 – $20.48 | 5 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $14.34 – $34.76 | 5 |
| Fallopian tube recnl CPT 58345 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $27.30 – $36.39 | 2 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $129.31 – $172.41 | 2 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $129.31 – $172.41 | 2 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.02 | 2 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $24.66 – $57.00 | 5 |
| Fancc gene CPT 81242 | $729.85 | $1,327.00 | $27.46 – $210.22 | 5 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $2,383.65 – $18,955.00 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $15.95 | $29.00 | $3.82 – $41.37 | 5 |
| Fatty acids nonesterified CPT 82725 | $530.75 | $965.00 | $14.08 – $108.23 | 5 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.42 – $37.02 | 5 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $49.20 – $121.66 | 5 |
| Fecal microbiota prep instil HCPCS G0455 | $847.55 | $1,541.00 | $677.47 – $903.30 | 2 |
| #fecal-sodium CPT 84302 | $15.95 | $29.00 | $3.64 – $39.59 | 5 |
| Feeding tube reposition CPT 74355 | not published | not published | $845.10 – $845.10 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $58.14 – $77.52 | 2 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $25.30 | $46.00 | $13.98 – $111.30 | 5 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | $7,291.90 | $13,258.00 | $20,778.00 – $27,690.00 | 2 |
| Feno poc CPT 95012 | not published | not published | $27.21 – $36.28 | 2 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $1.22 – $1.83 | 3 |
| Fern test HCPCS Q0114 | $59.95 | $109.00 | $7.30 – $58.22 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $0.85 – $2.17 | 5 |
| Ferritin CPT 82728 | $11.55 | $21.00 | $10.22 – $110.86 | 5 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.28 – $0.70 | 5 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.28 – $0.70 | 5 |
| Fetal aneuploidy trisom risk CPT 81507 | $1,276.00 | $2,320.00 | $596.25 – $4,563.72 | 5 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $76.16 – $552.54 | 3 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $569.29 – $4,790.03 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $891.00 | $1,620.00 | $569.29 – $4,790.03 | 5 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $147.28 – $2,036.00 | 3 |
| Fetal cord puncture prenatal CPT 59012 | $423.50 | $770.00 | $222.00 – $4,198.00 | 4 |
| Fetal fibronectin CPT 82731 | $326.70 | $594.00 | $48.31 – $523.82 | 5 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $222.00 – $4,198.00 | 4 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $140.25 | $255.00 | $5.80 – $62.92 | 5 |
| Fetal hemoglobin rosette CPT 85461 | $52.80 | $96.00 | $7.02 – $53.97 | 5 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $87.45 | $159.00 | $14.49 – $153.80 | 5 |
| Fetal monitor w/report CPT 59050 | not published | not published | $2,036.00 – $2,036.00 | 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.