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 |
|---|---|---|---|---|
| Mra, w/dye, spinal canal HCPCS C8931 | $2,024.00 | $3,680.00 | $254.15 – $338.87 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $254.15 – $338.87 | 2 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $173.82 – $231.76 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $173.82 – $231.76 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $173.82 – $231.76 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $173.82 – $231.76 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,526.05 | $6,411.00 | $254.15 – $338.87 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,486.45 | $6,339.00 | $254.15 – $338.87 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $3,585.45 | $6,519.00 | $254.15 – $338.87 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $254.15 – $338.87 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $3,656.40 | $6,648.00 | $254.15 – $338.87 | 2 |
| Mr elastography CPT 76391 | not published | not published | $173.82 – $1,477.06 | 3 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $8,117.45 – $20,778.00 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $127.78 – $11,083.99 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $398.06 – $10,455.10 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $127.78 – $10,455.10 | 3 |
| MRI breast c- unilateral CPT 77046 | $454.30 | $826.00 | $173.82 – $1,442.14 | 3 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $2,374.79 – $2,374.79 | 1 |
| MRI breast without cont bi CPT 77047 | $907.50 | $1,650.00 | $173.82 – $1,433.39 | 3 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $2,363.14 – $2,363.14 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,439.80 | $4,436.00 | $173.82 – $1,637.38 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,593.80 | $4,716.00 | $254.15 – $2,388.62 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $571.09 – $2,879.59 | 3 |
| MRI chest without contrast CPT 71550 | $3,382.50 | $6,150.00 | $173.82 – $2,769.22 | 3 |
| MRI chest without & w/contrast CPT 71552 | $4,059.00 | $7,380.00 | $254.15 – $3,781.96 | 3 |
| MRI chest w IV cont CPT 71551 | $3,721.30 | $6,766.00 | $571.09 – $3,019.06 | 3 |
| MRI compatible system HCPCS L0859 | $2,923.03 | $5,314.60 | not published | 0 |
| MRI fetal ea addl gestation CPT 74713 | $1,058.75 | $1,925.00 | $1,149.28 – $1,149.28 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $2,063.60 | $3,752.00 | $173.82 – $2,682.05 | 3 |
| MRI guid ndl plc s&i CPT 77021 | $1,549.35 | $2,817.00 | $2,668.71 – $2,668.71 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $3,825.31 – $3,825.31 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,685.10 | $4,882.00 | $254.15 – $2,621.04 | 3 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,174.70 | $3,954.00 | $173.82 – $2,411.86 | 3 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,136.10 | $5,702.00 | $254.15 – $3,205.00 | 3 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,217.05 | $4,031.00 | $173.82 – $2,365.39 | 3 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,478.75 | $6,325.00 | $254.15 – $3,120.74 | 3 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $254.15 – $2,603.61 | 3 |
| MRI tmj CPT 70336 | $2,533.30 | $4,606.00 | $173.82 – $2,002.24 | 3 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,175.80 | $3,956.00 | $173.82 – $2,411.86 | 3 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,223.55 | $5,861.00 | $254.15 – $3,181.73 | 3 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $254.15 – $2,621.04 | 3 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $254.15 – $338.87 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $127.78 – $170.37 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $254.15 – $338.87 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $254.15 – $338.87 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $63.40 – $481.50 | 3 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $69.26 – $758.72 | 3 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $341.73 – $341.73 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $42.98 – $984.78 | 3 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $21.07 – $70.98 | 3 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $173.82 – $1,481.69 | 3 |
| Mr spectroscopy CPT 76390 | $1,941.50 | $3,530.00 | $63.40 – $3,058.02 | 3 |
| Msh2 gene dup/delete variant CPT 81297 | $1,376.65 | $2,503.00 | $159.98 – $904.36 | 5 |
| Msh2 gene full seq CPT 81295 | $1,376.65 | $2,503.00 | $286.28 – $904.36 | 5 |
| Msh2 gene known variants CPT 81296 | not published | not published | $253.30 – $772.18 | 5 |
| Msh6 gene dup/delete variant CPT 81300 | $729.85 | $1,327.00 | $178.50 – $963.83 | 5 |
| Msh6 gene full seq CPT 81298 | $729.85 | $1,327.00 | $481.39 – $1,715.82 | 5 |
| Msh6 gene known variants CPT 81299 | not published | not published | $231.00 – $961.21 | 5 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Mthfr gene analy common variants CPT 81291 | $168.85 | $307.00 | $49.00 – $354.97 | 5 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $20.16 – $163.11 | 5 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $32.13 – $348.37 | 5 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.40 – $47.64 | 5 |
| Mucopolysaccharides CPT 83864 | $161.70 | $294.00 | $21.38 – $161.97 | 5 |
| Mucormycosis antibody CPT 86732 | not published | not published | $11.25 – $107.28 | 5 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $27.30 – $36.39 | 2 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $129.31 – $172.41 | 2 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $93.74 – $124.98 | 2 |
| Multiple sleep latency test CPT 95805 | $2,547.05 | $4,631.00 | $625.59 – $834.12 | 2 |
| Mumps antibody igg CPT 86735 | $61.60 | $112.00 | $9.79 – $106.09 | 5 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Muscle test cran nerv unilat CPT 95867 | $439.45 | $799.00 | $157.30 – $209.73 | 2 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $93.74 – $124.98 | 2 |
| Muscle test larynx CPT 95865 | $174.90 | $318.00 | $96.93 – $129.23 | 2 |
| Muscle test one fiber CPT 95872 | not published | not published | $157.30 – $209.73 | 2 |
| Muscle transfers CPT 23397 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Mycobacteria dna amp probe CPT 87551 | $439.45 | $799.00 | $36.18 – $285.37 | 5 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $15.04 – $163.11 | 5 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $32.13 – $348.37 | 5 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.22 – $0.30 | 3 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.54 – $0.89 | 3 |
| Mycoplasma antibody igm CPT 86738 | $15.40 | $28.00 | $9.93 – $107.70 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,386.00 | $2,520.00 | $131.55 – $1,047.16 | 5 |
| Myelogphy 2/> spine regions CPT 72270 | $2,252.80 | $4,096.00 | $483.97 – $761.45 | 3 |
| Myelography l-s spine CPT 72265 | $2,086.70 | $3,794.00 | $405.55 – $761.45 | 3 |
| Myelography neck spine CPT 72240 | $1,992.65 | $3,623.00 | $420.07 – $761.45 | 3 |
| Myelography thoracic spine CPT 72255 | $1,846.35 | $3,357.00 | $411.34 – $761.45 | 3 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $4,253.70 | $7,734.00 | $571.09 – $4,198.00 | 4 |
| Myelography via inj w/s&i cervical CPT 62302 | $4,153.05 | $7,551.00 | $571.09 – $4,198.00 | 4 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,469.95 | $6,309.00 | $571.09 – $4,198.00 | 4 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,522.20 | $6,404.00 | $571.09 – $4,198.00 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $315.15 | $573.00 | $8.65 – $93.79 | 5 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | $3,558.50 | $6,470.00 | $1,041.72 – $3,021.22 | 3 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,041.72 – $3,225.42 | 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.