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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $176.55 | $321.00 | $8.98 – $97.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $92.40 | $168.00 | $8.98 – $97.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $22.55 | $41.00 | $8.98 – $97.49 | 5 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $599.50 | $1,090.00 | $26.32 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $203.50 | $370.00 | $26.32 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $123.20 | $224.00 | $27.95 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $394.90 | $718.00 | $312.58 – $3,413.24 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $195.25 | $355.00 | $26.32 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $34.10 | $62.00 | $26.32 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $359.70 | $654.00 | $31.26 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $203.50 | $370.00 | $26.32 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $130.35 | $237.00 | $38.48 – $306.59 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $229.35 | $417.00 | $106.97 – $852.24 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $264.00 | $480.00 | $106.97 – $852.24 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $26.32 – $285.37 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $203.50 | $370.00 | $26.32 – $285.37 | 5 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $52.64 – $70.18 | 2 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $200.20 | $364.00 | $57.58 – $345.47 | 5 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $509.83 – $679.77 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $924.00 | $1,680.00 | $312.58 – $3,389.58 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $128.15 | $233.00 | $96.22 – $1,043.35 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $459.80 | $836.00 | $197.24 – $1,735.78 | 5 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $413.60 | $752.00 | $32.13 – $348.37 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $134.75 | $245.00 | $32.13 – $348.37 | 5 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $124.85 | $227.00 | $32.13 – $348.37 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $449.90 | $818.00 | $63.82 – $692.07 | 5 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $108.35 | $197.00 | $106.97 – $1,043.35 | 5 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $23.61 – $59.24 | 5 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $23.12 – $39.68 | 5 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $15.46 – $37.39 | 5 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $21.92 – $168.89 | 5 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $121.06 – $158.63 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $41.86 – $54.85 | 3 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $280.98 – $922.03 | 3 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $271.85 – $362.46 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $479.60 | $872.00 | $159.52 – $212.70 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $451.55 | $821.00 | $159.52 – $212.70 | 2 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $4.64 – $11.46 | 5 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $5.60 – $13.75 | 5 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.07 – $0.41 | 4 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.07 – $0.09 | 3 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.07 – $0.11 | 3 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.04 – $0.10 | 3 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,100.09 – $7,956.11 | 5 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $48,248.71 – $120,519.00 | 5 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $8.67 – $11.36 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $27.16 – $67.61 | 5 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $602.44 – $1,651.26 | 4 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $224.01 – $608.76 | 5 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.21 – $3.00 | 5 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.06 – $8.63 | 5 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $91.16 – $271.75 | 5 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $59.96 – $107.73 | 5 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $13.88 – $34.40 | 5 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $2,756.01 – $6,739.91 | 5 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.60 – $6.18 | 5 |
| Inj. asceniv HCPCS J1554 | not published | not published | $381.85 – $943.36 | 5 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $44.02 – $105.07 | 5 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $24.42 – $60.11 | 4 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $77.40 – $201.20 | 5 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $62.96 – $153.43 | 5 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $124.17 – $319.45 | 5 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $29.87 – $75.67 | 5 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $160.32 – $403.49 | 5 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.25 – $0.32 | 3 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $2.07 – $2.94 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $322.93 – $803.37 | 5 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,291.73 – $3,213.48 | 5 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $269.78 – $657.77 | 5 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.09 – $2.84 | 5 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $118.09 – $313.02 | 5 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.81 – $2.53 | 3 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.42 – $1.85 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.41 – $2.05 | 3 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $8.26 – $11.15 | 3 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $7.31 – $9.64 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $1.91 – $4.56 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $7.53 – $17.34 | 5 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $12.87 – $31.15 | 5 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $61.90 – $312.17 | 5 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $72.23 – $170.61 | 5 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $3.26 – $4.83 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $393.25 | $715.00 | $2,036.00 – $2,036.00 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,513.15 – $1,983.86 | 3 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $10.52 – $26.99 | 5 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $13.61 – $33.42 | 5 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $3.29 – $9.55 | 3 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $6.69 – $17.11 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.37 – $1.49 | 5 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.37 – $4.05 | 5 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $2.58 – $8.05 | 5 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.10 – $0.13 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.07 – $0.11 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.08 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.30 – $5.91 | 4 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.13 – $1.48 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | $231.00 | $420.00 | $2,036.00 – $2,036.00 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $3.12 – $7.87 | 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.