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 lamotrigine therapeutic drug level CPT 80175 | $33.00 | $60.00 | $9.94 – $107.83 | 5 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $13.20 | $24.00 | $9.59 – $104.08 | 5 |
| Mayo legionella antibody CPT 86713 | $32.45 | $59.00 | $11.48 – $124.49 | 5 |
| Mayo leptospira antibody igm CPT 86720 | $41.25 | $75.00 | $12.15 – $47.30 | 5 |
| Mayo lipoprotein electrophoresis CPT 83700 | $26.95 | $49.00 | $8.44 – $91.52 | 5 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $76.45 | $139.00 | $11.62 – $125.99 | 5 |
| Mayo manganese CPT 83785 | $18.70 | $34.00 | $19.99 – $200.06 | 5 |
| Mayo metanephrines plasma CPT 83835 | $92.95 | $169.00 | $12.70 – $137.74 | 5 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $119.35 | $217.00 | $140.94 – $140.94 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $141.35 | $257.00 | $9.04 – $109.94 | 5 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $47.30 | $86.00 | $13.80 – $86.11 | 5 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $20.90 | $38.00 | $10.91 – $118.33 | 5 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $1,517.45 | $2,759.00 | $13.98 – $111.40 | 5 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $856.90 | $1,558.00 | $102.75 – $786.46 | 5 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $138.90 – $1,105.68 | 5 |
| Mayo muramidase CPT 85549 | $19.25 | $35.00 | $14.06 – $152.48 | 5 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $370.70 | $674.00 | $13.80 – $86.11 | 5 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $40.70 | $74.00 | $13.54 – $146.82 | 5 |
| Mayo myoglobin CPT 83874 | $85.80 | $156.00 | $9.69 – $105.03 | 5 |
| Mayo nickel CPT 83885 | not published | not published | $18.38 – $199.30 | 5 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $144.65 | $263.00 | $140.94 – $140.94 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $253.00 | $460.00 | $140.94 – $140.94 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $248.60 | $452.00 | $140.94 – $140.94 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $268.12 | $487.50 | $15.91 – $133.80 | 5 |
| Mayo organic acids qualitative each specimen CPT 83919 | $61.05 | $111.00 | $12.34 – $133.80 | 5 |
| Mayo oxalate 24 hour urine CPT 83945 | $78.10 | $142.00 | $10.84 – $104.66 | 5 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $8.65 – $93.79 | 5 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $24.20 | $44.00 | $11.27 – $122.29 | 5 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $685.85 | $1,247.00 | $9.04 – $97.99 | 5 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $78.65 | $143.00 | $26.32 – $285.37 | 5 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $361.90 | $658.00 | $13.48 – $146.23 | 5 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $23.65 | $43.00 | $10.32 – $95.47 | 5 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $37.95 | $69.00 | $6.33 – $68.66 | 5 |
| Mayo pregnenolone CPT 84140 | $37.40 | $68.00 | $15.50 – $168.12 | 5 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $12.10 | $22.00 | $12.44 – $134.99 | 5 |
| Mayo proinsulin CPT 84206 | $29.70 | $54.00 | $20.02 – $144.83 | 5 |
| Mayo psaft prostate specific antigen free CPT 84154 | $42.35 | $77.00 | $13.79 – $149.60 | 5 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,166.96 | $2,121.75 | $13.80 – $109.84 | 5 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $112.75 | $205.00 | $10.02 – $108.66 | 5 |
| Mayo receptor assay transferrin soluble CPT 84238 | $22.00 | $40.00 | $27.43 – $297.43 | 5 |
| Mayo renin CPT 84244 | $16.50 | $30.00 | $16.49 – $178.86 | 5 |
| Mayo repu protein electrophoresis urine CPT 84166 | $147.40 | $268.00 | $13.37 – $145.01 | 5 |
| Mayo selenium CPT 84255 | $18.70 | $34.00 | $19.15 – $207.65 | 5 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $11.62 – $126.04 | 5 |
| Mayo serotonin CPT 84260 | $46.75 | $85.00 | $23.24 – $251.96 | 5 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $101.20 | $184.00 | $14.51 – $157.46 | 5 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $67.10 | $122.00 | $10.30 – $111.72 | 5 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $103.95 | $189.00 | $69.02 – $92.03 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $64.90 | $118.00 | $3.20 – $34.76 | 5 |
| Mayo tau phosphorylated 217 each CPT 84393 | $275.00 | $500.00 | $96.69 – $128.92 | 2 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $466.40 | $848.00 | $156.69 – $1,699.06 | 5 |
| Mayo tgrp testosterone free CPT 84402 | $36.30 | $66.00 | $19.10 – $207.11 | 5 |
| Mayo tgrp testosterone total CPT 84403 | $95.70 | $174.00 | $19.36 – $204.98 | 5 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $98.45 | $179.00 | $16.63 – $132.42 | 5 |
| Mayo thyroglobulin CPT 84432 | $401.50 | $730.00 | $12.04 – $130.63 | 5 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $19.80 | $36.00 | $7.64 – $47.30 | 5 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $26.95 | $49.00 | $9.29 – $47.30 | 5 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $100.10 | $182.00 | $140.94 – $140.94 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $42.88 | $77.97 | $38.46 – $433.14 | 5 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $40.15 | $73.00 | $10.62 – $84.60 | 5 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $177.76 | $323.20 | $10.16 – $110.21 | 5 |
| Mayo vasoactive intestinal peptide CPT 84586 | $64.90 | $118.00 | $26.50 – $103.70 | 5 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $65.45 | $119.00 | $15.18 – $164.62 | 5 |
| Mayo vitamin b3 (niacin) CPT 84591 | $139.70 | $254.00 | $12.80 – $94.41 | 5 |
| Mayo vitamin k CPT 84597 | $68.75 | $125.00 | $10.29 – $111.59 | 5 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $81.95 | $149.00 | $9.94 – $107.83 | 5 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Mcoln1 gene CPT 81290 | $163.90 | $298.00 | $29.48 – $225.66 | 5 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,383.65 – $18,955.00 | 4 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,171.42 – $9,052.00 | 4 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $271.85 – $362.46 | 2 |
| Measure kidney pressure CPT 50396 | $2,382.60 | $4,332.00 | $507.98 – $4,198.00 | 4 |
| Measurement post void urine by ultrasound CPT 51798 | $220.55 | $401.00 | $42.98 – $2,036.00 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $93.74 – $4,198.00 | 4 |
| #mec-opiates CPT 80356 | $165.00 | $300.00 | $140.94 – $140.94 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $112.50 – $861.09 | 5 |
| Mecp2 gene full seq CPT 81302 | $191.40 | $348.00 | $395.90 – $3,030.28 | 5 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $90.00 – $688.86 | 5 |
| Medial canthopexy CPT 21280 | not published | not published | $2,415.31 – $16,624.00 | 4 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $4,404.16 – $21,366.00 | 4 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $4,404.16 – $21,366.00 | 4 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $271.85 – $6,860.36 | 3 |
| Meg evoked single CPT 95966 | not published | not published | $625.59 – $834.12 | 2 |
| Meg spontaneous CPT 95965 | not published | not published | $625.59 – $834.12 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $90.66 – $487.20 | 5 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $90.66 – $265.33 | 5 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $31.64 – $53.13 | 3 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $18.96 – $346.14 | 5 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $90.66 – $317.85 | 5 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $90.66 – $156.58 | 5 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $90.66 – $120.88 | 5 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $8.73 – $29.82 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $24.21 – $59.52 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.47 – $0.83 | 3 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.97 – $2.92 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $174.35 | $317.00 | $6.34 – $68.78 | 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.