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 |
|---|---|---|---|---|
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $48.14 – $241.38 | 5 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $61.41 – $562.83 | 5 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $242.22 – $2,626.46 | 5 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $71.64 – $656.60 | 5 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $268.17 – $2,907.89 | 5 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $303.39 – $1,957.45 | 5 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $259.18 – $2,810.35 | 5 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $301.59 – $3,270.32 | 5 |
| Hla ii typing 1 loc hr CPT 81382 | $917.40 | $1,668.00 | $92.76 – $1,005.87 | 5 |
| Hla ii typing ag equiv lr CPT 81375 | $218.90 | $398.00 | $165.56 – $1,795.23 | 5 |
| Hla i low res one antigen equiv ea CPT 81374 | $145.20 | $264.00 | $55.75 – $591.62 | 5 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $132.94 – $1,441.50 | 5 |
| Hla i typing complete hr CPT 81379 | not published | not published | $251.54 – $2,727.51 | 5 |
| Hla i typing complete lr CPT 81372 | $436.70 | $794.00 | $302.69 – $1,796.50 | 5 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $232.10 | $422.00 | $127.42 – $769.18 | 5 |
| Hla i typing low res one locus ea CPT 81373 | $396.00 | $720.00 | $95.57 – $905.67 | 5 |
| Hla typing a b or c CPT 86813 | not published | not published | $43.50 – $471.62 | 5 |
| Hla typing dr/dq CPT 86816 | not published | not published | $22.63 – $226.56 | 5 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $27.40 – $217.72 | 5 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $82.12 – $653.19 | 5 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $27.30 – $36.39 | 2 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $27.30 – $36.39 | 2 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $129.31 – $172.41 | 2 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.42 – $0.54 | 3 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.31 – $0.41 | 3 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $157.30 – $209.73 | 2 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $157.30 – $209.73 | 2 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $157.30 – $209.73 | 2 |
| Homocysteine CPT 83090 | $24.20 | $44.00 | $13.44 – $137.20 | 5 |
| Homogenization tissue CPT 87176 | $27.50 | $50.00 | $4.41 – $47.83 | 5 |
| Homovanillic acid (hva) CPT 83150 | $35.20 | $64.00 | $16.81 – $113.48 | 5 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $27.30 – $36.39 | 2 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $27.30 – $36.39 | 2 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $91.66 – $866.21 | 5 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $91.66 – $866.21 | 5 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $91.66 – $866.21 | 5 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $91.66 – $866.21 | 5 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $91.66 – $866.21 | 5 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $91.66 – $866.21 | 5 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $91.66 – $866.21 | 5 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $91.66 – $866.21 | 5 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $26.32 – $287.40 | 5 |
| Hpv low-risk types CPT 87623 | not published | not published | $26.32 – $285.37 | 5 |
| Hpv types 16 & 18 only CPT 87625 | $127.05 | $231.00 | $30.41 – $285.37 | 5 |
| H pylori ag ia CPT 87339 | not published | not published | $12.00 – $97.49 | 5 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $50.52 – $547.78 | 5 |
| H pylori (c-13) breath CPT 83013 | $98.45 | $179.00 | $50.52 – $547.78 | 5 |
| H pylori drug admin CPT 83014 | not published | not published | $5.90 – $63.94 | 5 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $977.96 – $5,561.09 | 5 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $548.66 – $3,594.64 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $438.68 – $4,790.03 | 5 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $438.68 – $4,145.24 | 5 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,503.10 – $4,982.00 | 3 |
| Hsv dna dir probe CPT 87528 | not published | not published | $15.04 – $163.11 | 5 |
| Htt gene charac alleles CPT 81274 | not published | not published | $206.12 – $1,640.78 | 5 |
| Htt gene detc abnor alleles CPT 81271 | $265.10 | $482.00 | $102.75 – $817.91 | 5 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $15.61 – $169.26 | 5 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $46.65 – $59.95 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.73 – $0.95 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.52 – $0.69 | 3 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $5.96 – $9.86 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $141.35 | $257.00 | $34.11 – $45.48 | 2 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $505.45 | $919.00 | $154.95 – $206.61 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $28.79 – $40.28 | 3 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.16 – $0.20 | 3 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $3.92 – $3.92 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $21.03 – $32.16 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $55.55 | $101.00 | $13.42 – $142.52 | 5 |
| Hymenotomy CPT 56442 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $13.60 – $33.14 | 5 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.64 – $47.30 | 5 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $507.38 – $5,599.42 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $280.98 – $2,772.66 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $402.53 – $2,476.30 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $402.53 – $7,435.51 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $402.53 – $7,815.97 | 3 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $13.76 – $34.93 | 5 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $9,052.00 – $21,366.00 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $9,052.00 – $21,366.00 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $683.10 | $1,242.00 | $173.82 – $452.04 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $3,644.28 – $13,962.00 | 4 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $3,644.28 – $13,962.00 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $3,644.28 – $13,962.00 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $3,644.28 – $13,962.00 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $3,644.28 – $8,124.00 | 4 |
| I-123 ioflupane diag HCPCS A9584 | $3,991.90 | $7,258.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $78.10 | $142.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $28.60 | $52.00 | not published | 0 |
| I131 iodide sol, rx HCPCS A9530 | $18.70 | $34.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $14.85 | $27.00 | $10.06 – $97.49 | 5 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $26.32 – $285.37 | 5 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $13.57 – $105.26 | 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.