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 |
|---|---|---|---|---|
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $90.66 – $195.53 | 5 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $90.66 – $258.74 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $67.12 – $120.88 | 5 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $54.38 – $253.17 | 5 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,040.71 | $1,892.20 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $7,412.17 | $13,476.68 | not published | 0 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.38 – $0.43 | 3 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,058.10 | $3,742.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $5,286.15 – $16,624.00 | 4 |
| Great toe with reduction 28495 CPT 28495 | $850.30 | $1,546.00 | $179.70 – $4,198.00 | 4 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Ground mileage HCPCS A0425 | $20.90 | $38.00 | not published | 0 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $27.30 – $36.39 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $8.98 – $11.97 | 2 |
| Group train without patient HCPCS G0543 | not published | not published | $21.07 – $28.09 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.80 – $127.99 | 5 |
| Growth hormone panel CPT 80428 | not published | not published | $50.02 – $542.45 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $97.00 – $638.28 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $56.70 – $178.86 | 5 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $27.30 – $36.39 | 2 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $27.30 – $36.39 | 2 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $6,044.00 – $16,624.00 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,397.92 – $8,124.00 | 4 |
| G-tube reposition CPT 43761 | $585.20 | $1,064.00 | $182.01 – $4,198.00 | 4 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,531.20 | $2,784.00 | $536.29 – $2,030.46 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,588.40 | $2,888.00 | $515.87 – $4,198.00 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,801.36 | $8,729.75 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $7,843.67 | $14,261.21 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $326.15 | $593.00 | $526.09 – $526.09 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Gw stiffened micro access kit HCPCS C1894 | $1,297.41 | $2,358.92 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,852.39 – $8,124.00 | 4 |
| Hair analysis HCPCS P2031 | not published | not published | $6.19 – $35.08 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $538.41 – $4,198.00 | 4 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $296.15 – $4,198.00 | 4 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $296.15 – $4,198.00 | 4 |
| Halo cervical into jckt vest HCPCS L0810 | $2,346.66 | $4,266.66 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $6.68 – $10.27 | 3 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $1.13 – $2.24 | 3 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $36.30 | $66.00 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $3,863.00 – $19,855.00 | 4 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Hand X-ray CPT 73130 | $282.15 | $513.00 | $63.40 – $176.04 | 3 |
| Haptoglobin quantitative CPT 83010 | $131.45 | $239.00 | $9.44 – $102.25 | 5 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $2,036.00 – $13,962.00 | 2 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,134.58 – $4,982.00 | 4 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $321.40 – $4,198.00 | 4 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $96.93 – $129.23 | 2 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $96.93 – $129.23 | 2 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,223.75 | $2,225.00 | $450.00 – $3,444.32 | 5 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $2,294.60 | $4,172.00 | $151.80 – $1,161.88 | 5 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $281.44 – $2,154.14 | 5 |
| Hbb full gene sequence CPT 81364 | $1,349.15 | $2,453.00 | $243.44 – $1,863.28 | 5 |
| Hbb gene com variants CPT 81361 | not published | not published | $131.11 – $1,003.52 | 5 |
| Hbb gene dup/del variants CPT 81363 | $1,091.75 | $1,985.00 | $151.80 – $1,161.88 | 5 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $281.44 – $2,154.14 | 5 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $7.28 – $78.94 | 5 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $784.85 | $1,427.00 | $127.78 – $3,121.92 | 3 |
| Hcg free betachain test CPT 84704 | $30.80 | $56.00 | $11.47 – $122.46 | 5 |
| Hcg qualitative CPT 84703 | $102.30 | $186.00 | $5.64 – $61.13 | 5 |
| Hcg quantitative CPT 84702 | $87.45 | $159.00 | $11.29 – $122.46 | 5 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $96.25 | $175.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $538.41 – $4,198.00 | 4 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $538.41 – $4,198.00 | 4 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $395.55 – $1,072.56 | 3 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $291.23 – $388.31 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $291.23 – $1,582.70 | 3 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $395.55 – $1,539.12 | 3 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $943.15 – $2,907.67 | 3 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $645.70 | $1,174.00 | $2,036.00 – $2,036.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $507.38 – $1,799.41 | 3 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $507.38 – $3,277.51 | 3 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $507.38 – $5,171.59 | 3 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $280.98 – $1,390.96 | 3 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $280.98 – $2,286.29 | 3 |
| Head CT scan (with and without contrast) CPT 70470 | $1,421.75 | $2,585.00 | $127.78 – $1,033.07 | 3 |
| Head CT scan (with contrast) CPT 70460 | $1,138.50 | $2,070.00 | $127.78 – $850.04 | 3 |
| Head CT scan (without contrast) CPT 70450 | $1,044.45 | $1,899.00 | $76.16 – $591.47 | 3 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $509.68 – $3,901.09 | 5 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,218.75 – $9,328.36 | 5 |
| Heart first pass add-on CPT 78496 | not published | not published | $167.32 – $167.32 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $395.55 – $1,443.25 | 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.