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 |
|---|---|---|---|---|
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $33.96 – $270.56 | 5 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $32.22 – $58.52 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,836.42 – $14,625.83 | 5 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.44 – $5.78 | 5 |
| Icatibant injection HCPCS J1744 | not published | not published | $181.71 – $181.71 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $26,405.32 | $48,009.67 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $37,490.48 | $68,164.50 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $13,469.30 | $24,489.63 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $6,037.77 | $10,977.76 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $157.30 – $209.73 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $27.21 – $36.28 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $42.98 – $57.30 | 2 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $21.07 – $28.09 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $4,982.00 – $18,955.00 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $2,415.31 – $4,982.00 | 4 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $63.09 – $86.58 | 3 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $425,983.34 – $1,028,394.85 | 5 |
| Identify sperm tissue CPT 89264 | not published | not published | $37.96 – $50.62 | 2 |
| Idet 1 or more levels CPT 22527 | not published | not published | $6,044.00 – $9,052.00 | 2 |
| Idet single level CPT 22526 | not published | not published | $6,044.00 – $9,052.00 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Idh1 common variants CPT 81120 | $498.30 | $906.00 | $144.94 – $1,109.37 | 5 |
| Idh2 common variants CPT 81121 | $498.30 | $906.00 | $221.84 – $1,698.00 | 5 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,022.07 – $8,124.00 | 4 |
| I&d lacrimal gland CPT 68400 | not published | not published | $726.23 – $4,982.00 | 4 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,732.00 – $4,982.00 | 4 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Idursulfase injection HCPCS J1743 | not published | not published | $427.53 – $1,061.26 | 5 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,116.08 – $4,982.00 | 4 |
| Ifnl3 gene CPT 81283 | not published | not published | $55.03 – $433.08 | 5 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $35.70 – $46.38 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $155.48 – $1,237.67 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $51.41 – $354.97 | 5 |
| Igh gene rearrange amp meth CPT 81261 | $535.70 | $974.00 | $148.49 – $1,610.16 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,259.50 | $2,290.00 | $220.89 – $2,395.16 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | $454.30 | $826.00 | $129.55 – $1,214.38 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $432.30 | $786.00 | $357.48 – $357.48 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $113.85 | $207.00 | $261.13 – $757.02 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $432.30 | $786.00 | $124.11 – $399.54 | 3 |
| Ikbkap gene CPT 81260 | $163.90 | $298.00 | $29.48 – $225.66 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Iliac/fem angio cath insert HCPCS G0278 | $102.30 | $186.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $3,892.90 | $7,078.00 | $18,955.00 – $18,955.00 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $213.39 – $301.94 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $44.65 – $108.34 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $42.98 – $57.30 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $27.21 – $36.28 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $42.98 – $57.30 | 2 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $5,954.31 – $17,504.00 | 4 |
| Immune complex assay CPT 86332 | $215.60 | $392.00 | $18.28 – $198.21 | 5 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $36.98 – $90.81 | 5 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $60.72 – $155.23 | 5 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $35.29 – $91.91 | 5 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $20.90 | $38.00 | $15.61 – $169.26 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $26.40 | $48.00 | $15.61 – $169.26 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $19.18 – $129.50 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $108.90 | $198.00 | $8.98 – $97.44 | 5 |
| Immunodiffusion nes CPT 86329 | $20.90 | $38.00 | $10.54 – $114.21 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $37.40 – $184.55 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $208.45 | $379.00 | $16.76 – $181.73 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $365.20 | $664.00 | $249.19 – $249.19 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $946.00 | $1,720.00 | $124.11 – $315.80 | 3 |
| Immunoglobulin assay CPT 86023 | $200.20 | $364.00 | $9.34 – $101.32 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $96.93 – $129.23 | 2 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $12,773.37 – $20,778.00 | 3 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,982.00 – $15,988.94 | 3 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $3,863.00 – $19,855.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $3,863.00 – $19,855.00 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $14,021.00 – $50,591.00 | 4 |
| Implant eye drug system CPT 67027 | not published | not published | $10,164.72 – $16,624.00 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $325.44 – $4,198.00 | 4 |
| Implant nerve end CPT 64787 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $14,021.00 – $27,690.00 | 4 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $8,117.45 – $20,778.00 | 4 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $4,642.72 – $20,778.00 | 4 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $4,642.72 – $20,778.00 | 4 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $14,021.00 – $50,591.00 | 4 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $13,962.00 – $16,624.00 | 2 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Implant spine infusion pump CPT 62361 | not published | not published | $13,130.37 – $41,279.00 | 4 |
| Implant spine infusion pump CPT 62362 | not published | not published | $13,130.37 – $41,279.00 | 4 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $1,862.44 | $3,386.25 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $4,642.72 – $20,778.00 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $2,036.00 – $2,036.00 | 1 |
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.