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. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $43.76 – $119.65 | 5 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $24.34 – $144.74 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $41.21 – $147.23 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,712.70 | $3,114.00 | $2,036.00 – $2,036.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.12 – $2.89 | 5 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $59.63 – $150.83 | 5 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $3.63 – $4.96 | 3 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $60.93 – $146.81 | 5 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.20 – $0.26 | 3 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $382.99 – $939.42 | 5 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $644.34 – $4,198.00 | 4 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $146.16 – $4,198.00 | 4 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $146.16 – $4,198.00 | 4 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $9.95 – $24.61 | 5 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $38.41 – $95.82 | 5 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.45 – $4.07 | 5 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.07 – $5.04 | 5 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.20 – $3.00 | 5 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $2.00 – $2.63 | 3 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $66.16 – $165.19 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $15.25 – $56.76 | 5 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.01 – $2.52 | 5 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $17.20 – $41.85 | 5 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $35.35 – $47.29 | 3 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.03 – $0.07 | 3 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $5.13 – $13.48 | 5 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $7.45 – $9.76 | 3 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $9.19 – $15.30 | 3 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $252.73 – $625.30 | 5 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $38.39 – $96.36 | 3 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $78.67 – $247.33 | 5 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $601.11 – $1,496.80 | 5 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $4.90 – $7.26 | 3 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $3.03 – $3.94 | 3 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $2.32 – $3.09 | 3 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.45 – $0.68 | 3 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $24.49 – $91.72 | 5 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $193.90 – $472.14 | 5 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $19.86 – $47.91 | 5 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $12.43 – $16.55 | 3 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $10.30 – $14.75 | 3 |
| Inj multihance HCPCS A9577 | not published | not published | $2.64 – $3.37 | 3 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $2.62 – $3.31 | 3 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.45 – $0.79 | 3 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $13.35 – $16.10 | 2 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $513.67 – $1,303.22 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $688.60 | $1,252.00 | $507.98 – $4,198.00 | 4 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $70.73 – $178.82 | 5 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $36.04 – $89.76 | 4 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $60.60 – $78.28 | 3 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $23.96 – $95.90 | 5 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $303.71 – $748.26 | 5 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.14 – $7.62 | 5 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $15.74 – $48.78 | 5 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $41.42 – $111.79 | 4 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $53.51 – $141.47 | 5 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $462.53 – $1,071.20 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $75.77 – $189.66 | 5 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $111.71 – $270.78 | 5 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $35.83 – $132.10 | 5 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $6.00 – $100.21 | 5 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $7.30 – $18.50 | 4 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $55.25 – $158.24 | 3 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $6.81 – $19.65 | 2 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.21 – $9.36 | 5 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.63 – $2.83 | 3 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $7.20 – $13.21 | 5 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $9,546.08 – $13,754.10 | 3 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $50.95 – $152.19 | 5 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $9.15 – $23.06 | 5 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $2.64 – $6.79 | 5 |
| Inj proc ankle arthr CPT 27648 | $235.95 | $429.00 | $2,036.00 – $2,036.00 | 1 |
| Inj proc elbow arthro CPT 24220 | $235.95 | $429.00 | $2,036.00 – $2,036.00 | 1 |
| Inj proc for lymphang CPT 38790 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | $282.70 | $514.00 | $2,036.00 – $2,036.00 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $387.75 | $705.00 | $2,036.00 – $2,036.00 | 1 |
| Inj proc sialogram CPT 42550 | $293.70 | $534.00 | $2,036.00 – $2,036.00 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.96 – $1.65 | 3 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $2.07 – $2.70 | 3 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $1.72 – $4.30 | 5 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.23 – $0.83 | 5 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.99 – $1.44 | 3 |
| Inj retro urethrocysto CPT 51610 | $430.65 | $783.00 | $2,036.00 – $2,036.00 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $9.97 – $25.35 | 5 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $25.19 – $54.18 | 3 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $296.15 – $4,198.00 | 4 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $296.15 – $4,198.00 | 4 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $13.67 – $33.90 | 5 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $49.30 – $124.88 | 5 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $296.15 – $4,198.00 | 4 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $27.14 – $35.32 | 3 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $56.10 – $149.02 | 5 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $14.73 – $34.41 | 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.