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 |
|---|---|---|---|---|
| Ghs fb removal - non-incisional CPT 20520 | $2,711.50 | $4,930.00 | $1,203.19 – $4,982.00 | 4 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $56.65 | $103.00 | $5.24 – $56.77 | 5 |
| Ghs fish cytogen CPT 88271 | $861.30 | $1,566.00 | $16.06 – $117.74 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $420.20 | $764.00 | $38.39 – $326.57 | 5 |
| Ghs flow volume loop CPT 94375 | not published | not published | $157.30 – $209.73 | 2 |
| Ghs gastric intub aspiration lavage CPT 43753 | $326.70 | $594.00 | $157.30 – $4,198.00 | 4 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $26.32 – $285.37 | 5 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $17.23 – $52.17 | 5 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $11.62 – $125.99 | 5 |
| Ghs hgb stability-thal CPT 83068 | $91.30 | $166.00 | $7.10 – $68.85 | 5 |
| Ghs histoplasma antigen CPT 87385 | $157.85 | $287.00 | $9.94 – $97.49 | 5 |
| Ghs HIV antibody CPT 86703 | not published | not published | $10.28 – $111.47 | 5 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $79.60 – $523.59 | 5 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,831.40 | $5,148.00 | $1,522.84 – $8,124.00 | 4 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $4,337.85 | $7,887.00 | $871.75 – $4,982.00 | 4 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $993.30 | $1,806.00 | $515.87 – $4,198.00 | 4 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $695.20 | $1,264.00 | $515.87 – $4,198.00 | 4 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $22.44 – $182.28 | 5 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,726.45 | $3,139.00 | $182.01 – $4,198.00 | 4 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $251.90 | $458.00 | $145.41 – $4,198.00 | 4 |
| Ghs inf midline insertion CPT 36140 | $501.60 | $912.00 | $2,036.00 – $2,036.00 | 1 |
| Ghs inhibitor screen CPT 85335 | $574.75 | $1,045.00 | $9.65 – $104.66 | 5 |
| Ghs init tx 1st degree burn CPT 16000 | $504.35 | $917.00 | $146.16 – $4,198.00 | 4 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $3,529.90 | $6,418.00 | $644.34 – $4,198.00 | 4 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $644.34 – $4,198.00 | 4 |
| Ghs inj tendon origin/insertion CPT 20551 | $499.95 | $909.00 | $223.61 – $4,198.00 | 4 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $3,724.05 | $6,771.00 | $2,036.00 – $2,036.00 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $6,167.70 | $11,214.00 | $644.34 – $4,198.00 | 4 |
| Ghs insertion of needle - bone CPT 36680 | $559.35 | $1,017.00 | $325.44 – $4,198.00 | 4 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,293.05 | $2,351.00 | $296.15 – $4,198.00 | 4 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,562.55 | $2,841.00 | $538.41 – $4,198.00 | 4 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,849.65 | $3,363.00 | $1,503.10 – $4,982.00 | 4 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $94.05 | $171.00 | $2,036.00 – $2,036.00 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $1,194.05 | $2,171.00 | $182.01 – $4,198.00 | 4 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $34.11 – $45.48 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $462.55 | $841.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $420.75 | $765.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $462.55 | $841.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $421.85 | $767.00 | $240.63 – $4,198.00 | 4 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $325.44 – $4,198.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $723.25 | $1,315.00 | $296.15 – $4,198.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $740.30 | $1,346.00 | $296.15 – $4,198.00 | 4 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $573.65 | $1,043.00 | $296.15 – $4,198.00 | 4 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $781.55 | $1,421.00 | $296.15 – $4,198.00 | 4 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $985.05 | $1,791.00 | $296.15 – $4,198.00 | 4 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $910.80 | $1,656.00 | $296.15 – $4,198.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $981.20 | $1,784.00 | $296.15 – $4,198.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,005.40 | $1,828.00 | $538.41 – $4,198.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $991.10 | $1,802.00 | $296.15 – $4,198.00 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,323.85 | $2,407.00 | $538.41 – $4,198.00 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,428.90 | $2,598.00 | $296.15 – $4,198.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,517.45 | $2,759.00 | $538.41 – $4,198.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,682.45 | $3,059.00 | $296.15 – $4,198.00 | 4 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,747.90 | $3,178.00 | $1,503.10 – $4,982.00 | 4 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,903.00 | $3,460.00 | $296.15 – $4,198.00 | 4 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $6.45 – $69.97 | 5 |
| Ghs mbp CPT 83873 | $24.20 | $44.00 | $12.90 – $139.93 | 5 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $139.15 | $253.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $139.15 | $253.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $139.15 | $253.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $32.45 | $59.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $32.45 | $59.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $417.45 | $759.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $262.90 | $478.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $192.50 | $350.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $207.90 | $378.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $767.25 | $1,395.00 | $538.41 – $4,198.00 | 4 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $685.30 | $1,246.00 | $644.34 – $4,198.00 | 4 |
| Ghs nerve blk intercostal, single level CPT 64420 | $633.05 | $1,151.00 | $514.23 – $4,198.00 | 4 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $644.34 – $4,198.00 | 4 |
| Ghs nerve block brachial plexus CPT 64415 | $2,886.95 | $5,249.00 | $644.34 – $4,198.00 | 4 |
| Ghs nerve block celiac plexus CPT 64530 | $1,963.50 | $3,570.00 | $644.34 – $4,198.00 | 4 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $644.34 – $4,198.00 | 4 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $644.34 – $4,198.00 | 4 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,070.30 | $1,946.00 | $514.23 – $4,198.00 | 4 |
| Ghs nerve block suprascapular CPT 64418 | $1,227.05 | $2,231.00 | $514.23 – $4,198.00 | 4 |
| Ghs ng placement w fluoro guidance CPT 43752 | $537.35 | $977.00 | $325.44 – $4,198.00 | 4 |
| Ghs o2 saturation CPT 82810 | $69.30 | $126.00 | $7.33 – $70.99 | 5 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $93.74 – $124.98 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $42.98 – $57.30 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $34.11 – $45.48 | 2 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $456.99 – $4,198.00 | 4 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,555.30 | $4,646.00 | $1,146.77 – $4,982.00 | 4 |
| Ghs optokenetic CPT 92544 | not published | not published | $93.74 – $124.98 | 2 |
| Ghs oscillating trac CPT 92545 | not published | not published | $157.30 – $209.73 | 2 |
| Ghs ot dds rom CPT 95851 | not published | not published | $4.81 – $6.41 | 2 |
| Ghs ot prosthetic training/15 min CPT 97761 | $123.75 | $225.00 | $29.40 – $39.20 | 2 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $111.65 | $203.00 | $44.02 – $58.69 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | $985.05 | $1,791.00 | $481.50 – $3,193.00 | 3 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,387.10 | $2,522.00 | $2,036.00 – $2,036.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,651.65 | $3,003.00 | $2,036.00 – $2,036.00 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $110.00 | $200.00 | $188.28 – $188.28 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $420.20 | $764.00 | $172.55 – $4,198.00 | 4 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.12 – $44.73 | 5 |
| Ghs picc line insert < 5 CPT 36568 | $1,309.55 | $2,381.00 | $1,146.77 – $4,198.00 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $897.05 | $1,631.00 | $179.70 – $4,198.00 | 4 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.23 – $34.99 | 5 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,466.55 | $8,121.00 | $625.59 – $834.12 | 2 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $96.93 – $129.23 | 2 |
| Ghs ppd (tb intradermal) CPT 86580 | $19.80 | $36.00 | $21.07 – $44.12 | 3 |
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.