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 |
|---|---|---|---|---|
| Fetal non stress test CPT 59025 | $678.70 | $1,234.00 | $147.28 – $2,036.00 | 3 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $222.00 – $2,036.00 | 3 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $222.00 – $4,198.00 | 4 |
| #_fet/norfentcnfrmur CPT 80354 | $125.40 | $228.00 | $140.94 – $140.94 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $9.67 – $14.75 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $87.45 | $159.00 | $7.64 – $65.90 | 5 |
| Fibrin degradation products CPT 85362 | $118.25 | $215.00 | $5.17 – $56.02 | 5 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $7.29 – $58.04 | 5 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $7.64 – $65.90 | 5 |
| Fibrinogen activity CPT 85384 | $127.60 | $232.00 | $7.29 – $69.07 | 5 |
| Fibrinogen test CPT 85370 | not published | not published | $9.32 – $65.90 | 5 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $80.30 | $146.00 | $11.61 – $42.03 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $5.78 – $62.69 | 5 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $5.78 – $71.95 | 5 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $12.89 – $139.82 | 5 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $7.64 – $82.85 | 5 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $73.15 | $133.00 | $4.90 – $53.13 | 5 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.24 – $0.54 | 5 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.75 – $1.87 | 5 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.26 – $0.70 | 5 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Filtered speech hearing test CPT 92571 | not published | not published | $27.21 – $36.28 | 2 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $23,248.12 | $42,269.30 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $2,628.29 | $4,778.71 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $9,052.00 – $13,962.00 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,603.25 | $2,915.00 | $515.87 – $4,198.00 | 4 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $762.85 | $1,387.00 | $2,036.00 – $2,036.00 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $762.85 | $1,387.00 | $2,036.00 – $2,036.00 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $613.25 | $1,115.00 | $296.15 – $4,198.00 | 4 |
| Finger tendon transfer CPT 26497 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $8,124.00 – $13,962.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $42.98 – $57.30 | 2 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $42.98 – $57.30 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $27.21 – $36.28 | 2 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $27.21 – $36.28 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $147.28 – $4,198.00 | 4 |
| Fixation of ankle joint CPT 27860 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Fix g/colon tube w/device CPT 49460 | $722.15 | $1,313.00 | $660.74 – $4,198.00 | 4 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Flecainide (tambocor)-sendout CPT 80181 | $25.30 | $46.00 | $13.98 – $111.30 | 5 |
| Fl exam g/colon tube w contrast CPT 49465 | $362.45 | $659.00 | $173.82 – $4,198.00 | 4 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $677.47 – $4,198.00 | 4 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Flow cytometry interp 16 or more CPT 88189 | $220.00 | $400.00 | $664.76 – $664.76 | 1 |
| Flow cytometry marker each additional CPT 88185 | $161.70 | $294.00 | $263.48 – $263.48 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $284.90 | $518.00 | $261.13 – $434.26 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $90.66 – $176.91 | 5 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $537.85 – $537.85 | 1 |
| Floxuridine injection HCPCS J9200 | not published | not published | $3,297.37 – $7,838.55 | 5 |
| Flt3 gene CPT 81245 | $729.85 | $1,327.00 | $124.13 – $989.13 | 5 |
| Flt3 gene analysis CPT 81246 | $332.75 | $605.00 | $62.25 – $495.77 | 5 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $3.55 – $4.42 | 3 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $86.32 – $311.36 | 3 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $11.30 – $15.06 | 2 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $515.87 – $4,198.00 | 4 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $387.30 – $945.81 | 5 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $254.10 – $645.55 | 5 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $271.85 – $362.46 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $157.30 – $209.73 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $157.30 – $209.73 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $522.50 | $950.00 | $9.04 – $97.99 | 5 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $524.70 | $954.00 | $454.95 – $454.95 | 1 |
| Fluoroguide needle placement CPT 77002 | $593.45 | $1,079.00 | $527.58 – $527.58 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $14.18 – $153.80 | 5 |
| Fluoroscopy up to 1 hour CPT 76000 | $382.80 | $696.00 | $173.82 – $312.57 | 3 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $3.20 – $4.13 | 3 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $12.80 – $17.41 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $173.82 – $5,003.24 | 3 |
| Fmri brain by tech CPT 70554 | $2,265.45 | $4,119.00 | $173.82 – $2,794.16 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,848.00 | $3,360.00 | $515.87 – $4,198.00 | 4 |
| Fna bx w/ct gdn ea addl CPT 10010 | $762.85 | $1,387.00 | $2,036.00 – $2,036.00 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $515.87 – $4,198.00 | 4 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $43.55 | $79.18 | not published | 0 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $130.37 | $237.04 | not published | 0 |
| Foam stability fetal lung CPT 83662 | not published | not published | $14.18 – $153.80 | 5 |
| Folic acid CPT 82746 | $42.90 | $78.00 | $11.02 – $119.58 | 5 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.09 – $0.11 | 2 |
| Follow-up angiography CPT 75898 | $547.80 | $996.00 | $357.88 – $3,066.96 | 3 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $1.24 – $1.37 | 3 |
| Foot X-ray CPT 73630 | $356.95 | $649.00 | $63.40 – $167.32 | 3 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $3,676.92 – $3,676.92 | 1 |
| Forensic cytopathology CPT 88125 | not published | not published | $37.96 – $54.32 | 3 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $477.40 | $868.00 | $182.01 – $4,198.00 | 4 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $2.47 – $3.74 | 3 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.17 – $0.22 | 3 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $29.61 – $70.82 | 3 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $21.38 – $213.86 | 5 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $63.40 – $216.68 | 3 |
| _fragile x methylation-sendout CPT 81244 | $574.20 | $1,044.00 | $33.67 – $257.70 | 5 |
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.