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 |
|---|---|---|---|---|
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $15.04 – $163.11 | 5 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $31.32 – $339.59 | 5 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,532.85 | $2,787.00 | $173.82 – $231.76 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $9.19 – $47.30 | 5 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Lengthening of palate CPT 42227 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $5,286.15 – $9,052.00 | 4 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,383.65 – $16,624.00 | 4 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $6,044.00 – $18,955.00 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $5,286.15 – $16,624.00 | 4 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,681.91 | $4,876.20 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $5.09 – $7.70 | 3 |
| Leukacyte transfusion CPT 86950 | not published | not published | $124.11 – $418.76 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $7.79 – $64.94 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $120.26 – $334.46 | 5 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,380.95 – $3,300.48 | 5 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $6.75 – $16.48 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $320.07 – $687.29 | 5 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $31.54 – $103.43 | 5 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.39 – $0.57 | 3 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.17 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.07 – $0.09 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $50.60 | $92.00 | $9.94 – $107.83 | 5 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.36 – $3.72 | 3 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $9.97 – $14.63 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $2,361.75 – $16,624.00 | 4 |
| Liberta rc ipg HCPCS C1820 | $21,657.49 | $39,377.25 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.04 – $0.04 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $39.60 | $72.00 | $11.02 – $119.45 | 5 |
| Ligate esophagus veins CPT 43400 | not published | not published | $13,962.00 – $18,955.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,300.22 – $4,982.00 | 4 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $4,258.65 | $7,743.00 | $2,358.24 – $8,124.00 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,203.19 – $4,982.00 | 4 |
| Ligation common iliac vein CPT 37660 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,300.22 – $4,982.00 | 4 |
| Ligation major artery chest CPT 37616 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,300.22 – $4,982.00 | 4 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $4,053.72 – $9,052.00 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Ligation of shunt CPT 49428 | not published | not published | $3,863.00 – $6,044.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Limb exercise test CPT 95875 | not published | not published | $93.74 – $124.98 | 2 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $661.82 – $661.82 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $588.31 – $588.31 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $42.98 – $57.30 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $9.05 – $12.45 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $3.80 – $6.59 | 3 |
| Lipase CPT 83690 | $70.40 | $128.00 | $5.17 – $56.02 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Lipoprotein blood high res frac & quant CPT 83701 | $170.50 | $310.00 | $25.40 – $201.93 | 5 |
| Lipoprotein blood quant CPT 83704 | $81.40 | $148.00 | $25.64 – $256.59 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $78.10 | $142.00 | $6.14 – $66.63 | 5 |
| Lipoprotein direct measurement ldl CPT 83721 | $23.10 | $42.00 | $7.88 – $77.62 | 5 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $25.64 – $209.30 | 5 |
| Lip surgery procedure CPT 40799 | not published | not published | $172.55 – $14,021.00 | 4 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $434,677.96 – $1,029,107.75 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.89 – $47.30 | 5 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | $8,416.99 | $15,303.61 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $149.05 | $271.00 | $4.96 – $53.79 | 5 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $6,539.50 | $11,890.00 | not published | 0 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $132.14 – $824.57 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $93.74 – $124.98 | 3 |
| Liver Function Test CPT 80076 | $150.70 | $274.00 | $6.13 – $66.44 | 5 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Liver imaging CPT 78201 | $1,013.65 | $1,843.00 | $395.55 – $1,405.48 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $395.55 – $1,501.34 | 3 |
| Liver/spleen imag static only CPT 78215 | $1,108.80 | $2,016.00 | $291.23 – $1,440.35 | 3 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $291.23 – $827.33 | 3 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $1,732.00 – $8,124.00 | 3 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.35 – $3.42 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $169.96 – $411.81 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.90 – $2.50 | 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.