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 |
|---|---|---|---|---|
| Intra-atrial pacing CPT 93610 | $3,648.15 | $6,633.00 | $3,863.00 – $7,576.07 | 3 |
| Intra-atrial recording CPT 93602 | $3,648.15 | $6,633.00 | $3,863.00 – $7,576.07 | 3 |
| Intracard echo interv w/s&i CPT 93662 | $2,216.50 | $4,030.00 | $2,036.00 – $2,036.00 | 1 |
| Intracran angioplsty w/stent CPT 61635 | $15,583.70 | $28,334.00 | $19,855.00 – $19,855.00 | 1 |
| Intracranial angioplasty CPT 61630 | $14,146.00 | $25,720.00 | $19,855.00 – $19,855.00 | 1 |
| Intracranial complete study CPT 93886 | $471.90 | $858.00 | $173.82 – $231.76 | 2 |
| Intracranial limited study CPT 93888 | $315.70 | $574.00 | $76.16 – $101.55 | 2 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Intranasal reconstruction CPT 30620 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $392.90 – $4,198.00 | 4 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $63.40 – $84.53 | 2 |
| Intrapul surf admin endo tube CPT 94610 | $92.40 | $168.00 | $159.52 – $212.70 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $321.40 – $4,198.00 | 4 |
| Intraventricular pacing CPT 93612 | $4,191.55 | $7,621.00 | $3,863.00 – $7,576.07 | 3 |
| Intrinsic factor antibody CPT 86340 | $24.20 | $44.00 | $11.31 – $82.58 | 5 |
| Intro cath dialysis circuit CPT 36901 | $1,861.20 | $3,384.00 | $1,146.77 – $4,982.00 | 4 |
| Intro cath dialysis circuit w/pta CPT 36902 | $4,862.00 | $8,840.00 | $4,146.30 – $18,955.00 | 4 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $6,874.45 | $12,499.00 | $8,409.93 – $27,690.00 | 4 |
| Intro catheter aorta CPT 36200 | $469.70 | $854.00 | $2,036.00 – $2,036.00 | 1 |
| Intro cath svc/ivc CPT 36010 | $590.15 | $1,073.00 | $2,036.00 – $2,036.00 | 1 |
| Intro long gi tube CPT 44500 | $1,206.15 | $2,193.00 | $660.74 – $4,198.00 | 4 |
| Intro long gi tube w/mult fluo CPT 74340 | $404.80 | $736.00 | $656.91 – $656.91 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,296.65 – $4,982.00 | 4 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,303.40 | $4,188.00 | $2,036.00 – $2,036.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,707.20 | $3,104.00 | $2,036.00 – $2,036.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,038.95 | $1,889.00 | $172.55 – $4,198.00 | 4 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $42.98 – $57.30 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $27.19 – $36.25 | 2 |
| Ionm in operatng room 15 min CPT 95940 | $70.90 | $128.91 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.51 – $0.85 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.20 – $0.29 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $2,674.60 – $2,674.60 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $142.82 – $348.49 | 5 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.52 – $0.75 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.38 – $3.64 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $49.40 – $123.98 | 5 |
| Iron CPT 83540 | $99.55 | $181.00 | $4.85 – $52.66 | 5 |
| Iron binding capacity CPT 83550 | $65.45 | $119.00 | $6.56 – $71.12 | 5 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $14.24 – $34.25 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.16 – $52.61 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.33 – $0.43 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $58.85 | $107.00 | $27.21 – $161.38 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $42.98 – $57.30 | 2 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $42.98 – $4,198.00 | 4 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $66.12 – $157.43 | 5 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Ivc venogram s&i CPT 75825 | $3,176.80 | $5,776.00 | $652.50 – $3,066.96 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $141.35 | $257.00 | $52.45 – $69.94 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $141.35 | $257.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $154.55 | $281.00 | $34.11 – $45.48 | 2 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $505.45 | $919.00 | $154.95 – $206.61 | 2 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $291.23 – $388.31 | 3 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $325.44 – $4,198.00 | 4 |
| Ivp w/nephrotomography CPT 74415 | $1,610.40 | $2,928.00 | $127.78 – $908.15 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $127.78 – $687.35 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $104.82 – $263.48 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | $297.00 | $540.00 | $138.90 – $1,105.68 | 5 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,397.92 – $4,982.00 | 4 |
| John cunningham antibody CPT 86711 | not published | not published | $12.67 – $117.06 | 5 |
| J-tube placement CPT 44015 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $6,044.00 – $8,124.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $6,044.00 – $8,124.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $10,567.69 – $20,778.00 | 4 |
| Ketamine and metabolite screen - quest CPT 80357 | $286.55 | $521.00 | $140.94 – $140.94 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $11.60 – $115.30 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $24.20 | $44.00 | $6.13 – $66.44 | 5 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.21 – $1.39 | 5 |
| Kidney endoscopy CPT 50551 | not published | not published | $3,863.00 – $13,962.00 | 4 |
| Kidney endoscopy CPT 50553 | not published | not published | $3,906.07 – $13,962.00 | 4 |
| Kidney endoscopy CPT 50570 | not published | not published | $2,567.95 – $6,044.00 | 4 |
| Kidney endoscopy CPT 50575 | not published | not published | $3,906.07 – $16,624.00 | 4 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,863.00 – $13,962.00 | 4 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,567.95 – $4,982.00 | 4 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $6,896.31 – $20,778.00 | 4 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $3,906.07 – $13,962.00 | 4 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $3,863.00 – $13,962.00 | 4 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $3,863.00 – $13,962.00 | 4 |
| Kidney function study CPT 78725 | not published | not published | $291.23 – $754.72 | 3 |
| Kidney imaging morphology CPT 78700 | $552.20 | $1,004.00 | $291.23 – $1,266.03 | 3 |
| Kidney imag w/bld flow multi CPT 78709 | $1,727.55 | $3,141.00 | $395.55 – $2,499.57 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,176.45 | $2,139.00 | $395.55 – $1,571.09 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,012.55 | $1,841.00 | $76.16 – $623.45 | 3 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,127.37 | $22,049.76 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $584.10 | $1,062.00 | $93.65 – $745.51 | 5 |
| Kit lead specify 5-6-5 HCPCS C1778 | $15,889.84 | $28,890.62 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $33.71 – $120.88 | 5 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,046.20 | $3,720.36 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,383.65 – $9,052.00 | 4 |
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.