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 |
|---|---|---|---|---|
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $105.05 | $191.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $139.70 | $254.00 | $140.94 – $140.94 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $83.05 | $151.00 | $11.08 – $120.26 | 5 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $246.40 | $448.00 | $140.94 – $140.94 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $34.65 | $63.00 | $10.08 – $109.24 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $19.80 | $36.00 | $11.31 – $122.62 | 5 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $21.45 | $39.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $119.35 | $217.00 | $140.94 – $140.94 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $562.10 | $1,022.00 | $91.22 – $989.13 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $733.15 | $1,333.00 | $68.74 – $745.51 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $387.20 | $704.00 | $102.75 – $817.91 | 5 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,773.00 | $6,860.00 | $870.00 – $6,659.01 | 5 |
| Mayo androstenedione CPT 82157 | $42.90 | $78.00 | $21.96 – $238.09 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $19.80 | $36.00 | $10.95 – $118.77 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | $44.00 | $80.00 | $8.11 – $87.94 | 5 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $48.40 | $88.00 | $11.29 – $47.30 | 5 |
| Mayo avwpr vw factor activity CPT 85397 | $271.15 | $493.00 | $23.14 – $186.59 | 5 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $105.60 | $192.00 | $26.32 – $209.60 | 5 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $97.90 | $178.00 | $140.94 – $140.94 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $18.15 | $33.00 | $7.64 – $47.30 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $591.25 | $1,075.00 | $108.63 – $1,177.89 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $106.70 | $194.00 | $160.96 – $1,308.06 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $19.80 | $36.00 | $9.68 – $47.30 | 5 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $242.00 | $440.00 | $140.94 – $140.94 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $76.45 | $139.00 | $9.89 – $47.30 | 5 |
| Mayo brcmg brucella antibody igm CPT 86622 | $39.60 | $72.00 | $6.70 – $47.30 | 5 |
| Mayo c1 esterase inhibitor CPT 83883 | $232.65 | $423.00 | $10.20 – $110.56 | 5 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $238.70 | $434.00 | $140.94 – $140.94 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $41.25 | $75.00 | $12.65 – $117.20 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $169.40 | $308.00 | $20.08 – $217.72 | 5 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $194.70 | $354.00 | $91.66 – $993.99 | 5 |
| Mayo ceruloplasmin CPT 82390 | $11.55 | $21.00 | $8.06 – $87.34 | 5 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $282.70 | $514.00 | $10.59 – $114.88 | 5 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $901.92 | $1,639.86 | $9.66 – $47.30 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $13.20 | $24.00 | $8.86 – $47.30 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $13.20 | $24.00 | $9.51 – $47.30 | 5 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $251.35 | $457.00 | $87.37 – $405.09 | 5 |
| Mayo chromium CPT 82495 | $18.70 | $34.00 | $15.21 – $59.17 | 5 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $238.70 | $434.00 | $140.94 – $140.94 | 1 |
| Mayo coccidioides antibody CPT 86635 | $19.80 | $36.00 | $8.60 – $47.30 | 5 |
| Mayo cocou cortisone urine CPT 82542 | $359.15 | $653.00 | $18.07 – $146.88 | 5 |
| Mayo cortisol free CPT 82530 | $27.50 | $50.00 | $12.53 – $135.88 | 5 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $72.05 | $131.00 | $31.60 – $251.74 | 5 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $46.75 | $85.00 | $9.09 – $47.30 | 5 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $49.50 | $90.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $214.50 | $390.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $112.20 | $204.00 | $14.55 – $157.80 | 5 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $611.60 | $1,112.00 | $124.11 – $3,303.48 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $20.90 | $38.00 | $9.94 – $102.20 | 5 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $36.85 | $67.00 | $18.95 – $205.50 | 5 |
| Mayo dihydrotestosterone CPT 82642 | $52.80 | $96.00 | $21.96 – $194.22 | 5 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $7.23 – $68.89 | 5 |
| Mayo efpo chloride stool CPT 82438 | $42.90 | $78.00 | $3.75 – $39.77 | 5 |
| Mayo estriol CPT 82677 | $18.15 | $33.00 | $18.14 – $196.65 | 5 |
| Mayo estrone CPT 82679 | $36.85 | $67.00 | $18.71 – $202.99 | 5 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $19.25 | $35.00 | $12.26 – $132.90 | 5 |
| Mayo everolimus therapeutic drug level CPT 80169 | $68.75 | $125.00 | $10.30 – $111.72 | 5 |
| Mayo factor ii CPT 85210 | $74.25 | $135.00 | $9.74 – $47.30 | 5 |
| Mayo factor v CPT 85220 | $63.80 | $116.00 | $13.24 – $143.51 | 5 |
| Mayo factor vii CPT 85230 | $193.60 | $352.00 | $13.42 – $145.62 | 5 |
| Mayo factor viii vw factor antigen CPT 85246 | $112.20 | $204.00 | $17.20 – $186.59 | 5 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $93.50 | $170.00 | $17.20 – $186.59 | 5 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $282.70 | $514.00 | $17.20 – $186.59 | 5 |
| Mayo factor x CPT 85260 | $63.80 | $116.00 | $13.42 – $145.62 | 5 |
| Mayo factor xi CPT 85270 | $92.95 | $169.00 | $13.42 – $145.62 | 5 |
| Mayo fat/lipids feces quantitative CPT 82710 | $28.60 | $52.00 | $12.60 – $136.68 | 5 |
| Mayo fbl culture fungi blood CPT 87103 | $188.65 | $343.00 | $15.34 – $73.31 | 5 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $256.30 | $466.00 | $60.34 – $140.81 | 5 |
| Mayo ffspg allergen clam igg CPT 86001 | $33.55 | $61.00 | $5.86 – $26.41 | 5 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $10.84 – $69.07 | 5 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $29.70 | $54.00 | $16.25 – $107.83 | 5 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,636.25 | $2,975.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $14.85 | $27.00 | $3.56 – $38.64 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $105.05 | $191.00 | $26.32 – $285.37 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $403.70 | $734.00 | $26.32 – $285.37 | 5 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $20.35 | $37.00 | $10.34 – $91.28 | 5 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $47.30 | $86.00 | $19.36 – $209.91 | 5 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $106.15 | $193.00 | $6.67 – $72.31 | 5 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $161.70 | $294.00 | $10.14 – $109.91 | 5 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $37.40 | $68.00 | $20.38 – $220.97 | 5 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $330.00 | $600.00 | $12.95 – $105.26 | 5 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $11.24 – $121.91 | 5 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $29.15 | $53.00 | $15.61 – $169.26 | 5 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $58.30 | $106.00 | $15.61 – $169.26 | 5 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $26.32 – $157.91 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $100.65 | $183.00 | $12.05 – $97.49 | 5 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $112.75 | $205.00 | $8.98 – $97.49 | 5 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $184.25 | $335.00 | $26.32 – $285.37 | 5 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $130.35 | $237.00 | $26.32 – $209.49 | 5 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $140.80 | $256.00 | $26.32 – $285.37 | 5 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $26.32 – $157.91 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $93.50 | $170.00 | $32.13 – $348.37 | 5 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $289.30 | $526.00 | $54.14 – $431.00 | 5 |
| Mayo infliximab therapeutic drug level CPT 80230 | $264.55 | $481.00 | $28.93 – $230.27 | 5 |
| Mayo inhab inhibin a CPT 86336 | $88.00 | $160.00 | $11.69 – $126.73 | 5 |
| Mayo insft insulin free CPT 83527 | not published | not published | $9.71 – $105.32 | 5 |
| Mayo insulin antibodies CPT 86337 | $57.20 | $104.00 | $16.06 – $174.09 | 5 |
| Mayo iodine CPT 83789 | $359.15 | $653.00 | $18.08 – $146.88 | 5 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $83.05 | $151.00 | $20.33 – $161.86 | 5 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $168.30 | $306.00 | $20.33 – $161.86 | 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.