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 |
|---|---|---|---|---|
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $56.14 – $608.76 | 5 |
| Obstetrics panel CPT 80055 | not published | not published | $35.86 – $388.77 | 5 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $21.07 – $28.09 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $574.75 | $1,045.00 | $76.16 – $495.59 | 3 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $304.70 | $554.00 | $245.75 – $245.75 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $45.73 – $113.44 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.86 – $1.50 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $156.07 – $403.98 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $400.67 – $4,198.00 | 4 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Ocular reconst transplant CPT 65781 | not published | not published | $3,876.57 – $16,624.00 | 4 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $129.31 – $172.41 | 2 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $129.31 – $172.41 | 2 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $1.35 – $1.73 | 3 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $4.23 – $5.54 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $34.94 – $77.07 | 5 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $2,904.75 – $23,122.28 | 5 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $1,882.66 – $17,790.03 | 5 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $2,904.75 – $22,233.09 | 5 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $2,904.75 – $23,122.40 | 5 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $2,904.75 – $23,141.97 | 5 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $5,394.75 – $42,943.32 | 5 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,337.00 – $18,661.09 | 5 |
| Oncology colorectal scr CPT 81528 | not published | not published | $381.65 – $3,038.04 | 5 |
| Oncology gynecologic CPT 81535 | not published | not published | $434.60 – $2,102.11 | 5 |
| Oncology gynecologic CPT 81536 | not published | not published | $133.17 – $1,060.05 | 5 |
| Oncology lung CPT 81538 | not published | not published | $2,153.25 – $12,697.19 | 5 |
| Oncology prostate prob score CPT 81539 | $2,544.30 | $4,626.00 | $570.00 – $3,594.64 | 5 |
| Oncology tissue of origin CPT 81504 | not published | not published | $390.00 – $2,985.07 | 5 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $2,812.50 – $17,434.64 | 5 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $672.75 – $5,149.26 | 5 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $195.38 – $1,495.42 | 5 |
| Oncoprotein dcp CPT 83951 | not published | not published | $48.31 – $523.82 | 5 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $48.31 – $523.82 | 5 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,522.50 – $12,119.41 | 5 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,904.75 – $6,777.75 | 4 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $2,904.75 – $22,233.09 | 5 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $2,700.00 – $21,492.55 | 5 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $5,832.00 – $46,423.92 | 5 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 3 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.13 – $0.17 | 3 |
| Oocyte identification CPT 89254 | not published | not published | $124.11 – $165.49 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $9,052.00 – $13,962.00 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,852.39 – $9,052.00 | 4 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,852.39 – $9,052.00 | 4 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,171.42 – $8,124.00 | 4 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,383.65 – $18,955.00 | 4 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $5,286.15 – $8,124.00 | 4 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $5,286.15 – $8,124.00 | 4 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,171.42 – $8,124.00 | 4 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $96.93 – $129.23 | 2 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $27.21 – $36.28 | 2 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $96.93 – $667.00 | 3 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $76.16 – $483.97 | 3 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $76.16 – $393.93 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $14,021.00 – $50,591.00 | 4 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $14,021.00 – $27,690.00 | 4 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $8,117.45 – $27,690.00 | 4 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $4,642.72 – $27,690.00 | 4 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $14,021.00 – $41,279.00 | 4 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $4,312.59 – $16,624.00 | 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.