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 |
|---|---|---|---|---|
| Galsulfase injection HCPCS J1458 | not published | not published | $394.48 – $960.46 | 5 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $121.89 – $914.20 | 5 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $36.66 – $92.00 | 5 |
| Gammaglobulin iga CPT 82784 | $106.15 | $193.00 | $6.98 – $75.64 | 5 |
| Gammaglobulin ige CPT 82785 | $11.55 | $21.00 | $12.34 – $133.91 | 5 |
| Gamma glutamyltransferase CPT 82977 | $31.35 | $57.00 | $5.40 – $58.58 | 5 |
| Gammagraft HCPCS Q4111 | not published | not published | $10.36 – $120.88 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $49.70 – $118.69 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $36.76 – $91.26 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $46.42 – $75.28 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $26.32 – $285.37 | 5 |
| Gardner vag dna quant CPT 87512 | not published | not published | $31.32 – $339.59 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.03 – $44.30 | 5 |
| Gastric emptying imag study CPT 78265 | not published | not published | $291.23 – $2,966.12 | 3 |
| Gastric emptying imag study CPT 78266 | not published | not published | $395.55 – $3,550.06 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $271.85 – $2,036.00 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $291.23 – $1,812.21 | 3 |
| Gastrin test CPT 82938 | not published | not published | $13.27 – $143.89 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $291.23 – $1,786.06 | 3 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $271.85 – $2,036.00 | 3 |
| Gastrointestinal repair CPT 43360 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $660.74 – $4,198.00 | 4 |
| Gated heart multiple CPT 78473 | $2,061.40 | $3,748.00 | $291.23 – $1,845.88 | 3 |
| Gba gene CPT 81251 | $163.90 | $298.00 | $35.44 – $271.25 | 5 |
| Gel-one HCPCS J7326 | not published | not published | $400.19 – $995.63 | 5 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.44 – $1.24 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $4.32 – $5.62 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $185.53 – $449.57 | 5 |
| General health panel CPT 80050 | $712.80 | $1,296.00 | $259.43 – $259.43 | 1 |
| Generator barostim neo2 2014 HCPCS C1767 | $24,058.85 | $43,743.36 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $34,535.60 | $62,792.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,836.42 – $14,618.26 | 5 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,753.24 – $13,956.13 | 5 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,773.40 – $30,037.03 | 5 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,032.46 – $16,178.82 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $3.00 – $4.97 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $176.00 | $320.00 | $12.28 – $133.27 | 5 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $2.86 – $11.44 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,747.90 | $3,178.00 | $625.59 – $2,036.00 | 3 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $1,951.95 | $3,549.00 | $677.47 – $4,198.00 | 4 |
| Ghs abscess postoperative iandd complex CPT 10180 | $5,336.10 | $9,702.00 | $2,116.08 – $8,124.00 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $20.35 | $37.00 | $7.36 – $62.43 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $12.83 – $130.76 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $880.00 | $1,600.00 | $76.70 – $587.02 | 5 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $96.93 – $129.23 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $17.60 | $32.00 | $10.79 – $117.06 | 5 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $182.01 – $4,198.00 | 4 |
| Ghs bladder cath - complex-foley CPT 51703 | $616.55 | $1,121.00 | $93.74 – $4,198.00 | 4 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.62 – $27.58 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $514.23 – $4,198.00 | 4 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,649.45 | $2,999.00 | $2,300.22 – $4,982.00 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $699.60 | $1,272.00 | $182.01 – $4,198.00 | 4 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $240.63 – $320.84 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | $707.85 | $1,287.00 | $240.63 – $320.84 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | $273.90 | $498.00 | $52.45 – $69.94 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $36.30 | $66.00 | $26.32 – $285.37 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $858.00 | $1,560.00 | $179.70 – $4,198.00 | 4 |
| Ghs closed reduction ankle dislocation CPT 27840 | $858.00 | $1,560.00 | $179.70 – $4,198.00 | 4 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,225.40 | $2,228.00 | $1,171.42 – $4,982.00 | 4 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $179.70 – $4,198.00 | 4 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,965.60 | $5,392.00 | $1,171.42 – $4,982.00 | 4 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $2,581.60 – $4,982.00 | 4 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $179.70 – $4,198.00 | 4 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,879.90 | $3,418.00 | $1,171.42 – $4,982.00 | 4 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,662.00 | $4,840.00 | $1,171.42 – $4,982.00 | 4 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $716.10 | $1,302.00 | $179.70 – $4,198.00 | 4 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $386.65 | $703.00 | $179.70 – $4,198.00 | 4 |
| Ghs community re-entry 15 minutes CPT 97537 | $93.50 | $170.00 | $23.38 – $31.17 | 2 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $408.65 | $743.00 | $325.44 – $4,198.00 | 4 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $408.65 | $743.00 | $96.93 – $4,198.00 | 4 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $408.65 | $743.00 | $325.44 – $4,198.00 | 4 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $408.65 | $743.00 | $96.93 – $4,198.00 | 4 |
| Ghs cricothyroidotomy CPT 31605 | $2,745.05 | $4,991.00 | $172.55 – $4,198.00 | 4 |
| Ghs cutdown placement age 1 and over CPT 36425 | $457.60 | $832.00 | $325.44 – $4,198.00 | 4 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $96.93 – $4,198.00 | 4 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $72.05 | $131.00 | $11.41 – $47.30 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | $746.35 | $1,357.00 | $179.70 – $4,198.00 | 4 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $660.74 – $4,198.00 | 4 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $369.05 | $671.00 | $203.76 – $4,198.00 | 4 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,933.25 | $3,515.00 | $514.23 – $4,198.00 | 4 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $293.70 | $534.00 | $157.30 – $209.73 | 2 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $93.74 – $124.98 | 2 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $93.74 – $124.98 | 2 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $296.15 – $4,198.00 | 4 |
| Ghs excision ingrown nail CPT 11765 | $409.75 | $745.00 | $296.15 – $4,198.00 | 4 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $421.30 | $766.00 | $231.23 – $4,198.00 | 4 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.64 – $29.97 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Ghs fb removal - incisional CPT 10121 | $2,094.95 | $3,809.00 | $1,203.19 – $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.