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 |
|---|---|---|---|---|
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $223.61 – $4,198.00 | 4 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $4.68 – $12.70 | 5 |
| Inj dx for sinogram CPT 20501 | $503.80 | $916.00 | $2,036.00 – $2,036.00 | 1 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $514.23 – $4,198.00 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $233.20 | $424.00 | $2,036.00 – $2,036.00 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $40.83 – $98.88 | 5 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $385.03 – $914.98 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $223.61 – $4,198.00 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $55.33 – $132.69 | 5 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.48 – $0.71 | 3 |
| Injection during cath supravalvular aortography CPT 93567 | $266.20 | $484.00 | $2,036.00 – $2,036.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $4.85 – $40.11 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $2,825.35 | $5,137.00 | $514.23 – $4,198.00 | 4 |
| Injection eye drug CPT 67028 | $466.40 | $848.00 | $240.63 – $4,198.00 | 4 |
| Injection for arthrography wrist (both sides) CPT 25246 | $235.95 | $429.00 | $2,036.00 – $2,036.00 | 1 |
| Injection for bladder x-ray CPT 51600 | $698.50 | $1,270.00 | $2,036.00 – $2,036.00 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $207.35 | $377.00 | $2,036.00 – $2,036.00 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Injection for ureter x-ray CPT 50690 | $517.55 | $941.00 | $2,036.00 – $2,036.00 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $10.01 – $13.26 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $9.68 – $23.47 | 5 |
| Injection into brain canal CPT 61026 | not published | not published | $514.23 – $4,198.00 | 4 |
| Injection into brain canal CPT 61055 | not published | not published | $223.61 – $4,198.00 | 4 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $677.47 – $4,198.00 | 4 |
| Injection into spinal artery CPT 62294 | not published | not published | $644.34 – $4,198.00 | 4 |
| Injection into vocal cord CPT 31513 | not published | not published | $284.93 – $4,198.00 | 4 |
| Injection intraop add-on CPT 48400 | not published | not published | $4,198.00 – $4,198.00 | 1 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Injection jugular CPT 36299 | $98.45 | $179.00 | $2,036.00 – $2,036.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.71 – $2.50 | 3 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $4.30 – $10.89 | 5 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $52.45 – $69.94 | 2 |
| Injection of sinus tract CPT 20500 | $1,602.15 | $2,913.00 | $1,130.33 – $4,982.00 | 4 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $4.88 – $12.35 | 5 |
| Injection px peyronie ds CPT 54200 | not published | not published | $182.01 – $4,198.00 | 4 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $552.20 | $1,004.00 | $291.23 – $4,198.00 | 4 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $19.96 – $48.58 | 5 |
| Injection, ruconest HCPCS J0596 | not published | not published | $28.37 – $69.80 | 5 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,901.25 | $5,275.00 | $514.23 – $4,198.00 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,670.35 | $3,037.00 | $514.23 – $4,198.00 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $930.60 | $1,692.00 | $514.23 – $4,198.00 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $6,167.70 | $11,214.00 | $644.34 – $4,198.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $3,547.50 | $6,450.00 | $2,036.00 – $2,036.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $6,508.15 | $11,833.00 | $644.34 – $4,198.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $3,547.50 | $6,450.00 | $2,036.00 – $2,036.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,083.85 | $5,607.00 | $644.34 – $4,198.00 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,849.65 | $3,363.00 | $514.23 – $4,198.00 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,821.60 | $3,312.00 | $514.23 – $4,198.00 | 4 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $130.55 – $307.71 | 5 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $442.75 | $805.00 | $223.61 – $4,198.00 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $569.25 | $1,035.00 | $223.61 – $4,198.00 | 4 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $223.61 – $4,198.00 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $156.75 | $285.00 | $34.11 – $45.48 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $175.45 | $319.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $243.65 | $443.00 | $154.95 – $206.61 | 2 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $156.75 | $285.00 | $52.45 – $69.94 | 2 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,681.25 – $4,982.00 | 4 |
| Injection treatment of eye CPT 66030 | not published | not published | $1,681.25 – $4,982.00 | 4 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| Injection treatment of nerve CPT 64610 | $7,530.60 | $13,692.00 | $1,422.56 – $8,124.00 | 4 |
| Injection treatment of nerve CPT 64681 | not published | not published | $644.34 – $4,198.00 | 4 |
| Injection treatment of nose CPT 30200 | not published | not published | $392.90 – $4,198.00 | 4 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $2,036.00 – $4,198.00 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $231.23 – $4,198.00 | 4 |
| Inject/treat eye socket CPT 67505 | not published | not published | $231.23 – $4,198.00 | 4 |
| Inject/treat eye socket CPT 67515 | not published | not published | $231.23 – $4,198.00 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $25.69 – $64.10 | 5 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $28.92 – $40.96 | 5 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $294.58 – $725.12 | 5 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $43.52 – $109.12 | 5 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $514.23 – $4,198.00 | 4 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $644.34 – $4,198.00 | 4 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.70 – $4.40 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.04 – $2.45 | 5 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $148.22 – $360.53 | 5 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $13.53 – $33.30 | 5 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $7.46 – $18.83 | 5 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $24.29 – $65.51 | 5 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $15.81 – $38.42 | 5 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $108.98 – $266.81 | 5 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $0.92 – $2.30 | 5 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $10.37 – $14.23 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $1.84 – $5.45 | 4 |
| Inj for ext venography CPT 36005 | $564.30 | $1,026.00 | $2,036.00 – $2,036.00 | 1 |
| Inj for mammo ductogram CPT 19030 | $564.30 | $1,026.00 | $2,036.00 – $2,036.00 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.03 – $2.15 | 5 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $377.89 – $1,217.49 | 5 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $4.81 – $27.11 | 5 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $5.03 – $6.62 | 3 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $10.05 – $17.28 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $90.69 – $222.66 | 5 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,148.51 – $5,264.08 | 5 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.41 – $3.74 | 3 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $2.41 – $10.19 | 5 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $50.19 – $142.24 | 5 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $4.26 – $6.51 | 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.