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 |
|---|---|---|---|---|
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $303.98 – $405.30 | 2 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $42.98 – $57.30 | 2 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $42.98 – $57.30 | 2 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $290.57 – $290.57 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,383.65 – $18,955.00 | 4 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx lunate dislocation CPT 25695 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx medial ankle fx CPT 27766 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Optx post ankle fx CPT 27769 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $12,773.37 – $18,955.00 | 4 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $5,286.15 – $8,124.00 | 4 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx sho dislc fx CPT 23670 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx thigh fx CPT 27269 | not published | not published | $3,863.00 – $7,048.20 | 4 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,415.31 – $16,624.00 | 4 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $5,286.15 – $8,124.00 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Oral aprepitant HCPCS J8501 | not published | not published | $4.41 – $5.29 | 3 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.93 – $4.29 | 3 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $8.98 – $97.49 | 5 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $12.35 – $35.20 | 3 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $17.19 – $43.05 | 3 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $355.53 – $778.09 | 5 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,608.32 – $9,052.00 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,608.32 – $9,052.00 | 4 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $17.70 – $133.80 | 5 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $35.56 – $80.14 | 5 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $22.30 – $54.19 | 5 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,130.33 – $4,982.00 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $13.18 – $25.88 | 3 |
| Orthopantogram CPT 70355 | $406.45 | $739.00 | $63.40 – $84.53 | 3 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $42.98 – $57.30 | 2 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,858.74 | $3,379.53 | not published | 0 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $75.25 – $185.63 | 5 |
| Oscillation chest wall mechanical per session CPT 94669 | $276.65 | $503.00 | $159.52 – $212.70 | 2 |
| Osmolality blood CPT 83930 | $94.60 | $172.00 | $4.96 – $53.79 | 5 |
| Osmolality urine CPT 83935 | $102.85 | $187.00 | $5.12 – $55.46 | 5 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $2,036.00 – $20,778.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $6,044.00 – $18,955.00 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $393.80 | $716.00 | $73.70 – $98.26 | 2 |
| Ot evaluation low complexity patient/family CPT 97165 | $204.60 | $372.00 | $73.70 – $98.26 | 2 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $289.30 | $526.00 | $73.70 – $98.26 | 2 |
| Other bone graft microvasc CPT 20962 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $17.35 – $181.91 | 5 |
| Oth resp proc, group HCPCS G0239 | $343.75 | $625.00 | $27.21 – $36.28 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $71.50 | $130.00 | $21.07 – $28.09 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $113.30 | $206.00 | $36.34 – $48.45 | 2 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $104.50 | $190.00 | $33.48 – $44.64 | 2 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $110.55 | $201.00 | $20.20 – $26.94 | 2 |
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.