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 |
|---|---|---|---|---|
| Partial removal of toe CPT 28160 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Partial removal of tongue CPT 41120 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Partial removal of tongue CPT 41130 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Partial removal of ulna CPT 25150 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Partial removal tear gland CPT 68505 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Partial thyroid excision CPT 60210 | not published | not published | $4,404.16 – $21,366.00 | 4 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $4,404.16 – $21,366.00 | 4 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $3.70 – $4.85 | 3 |
| Part removal hip bone deep CPT 27071 | not published | not published | $2,383.65 – $18,955.00 | 4 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Part remove hip bone super CPT 27070 | not published | not published | $2,383.65 – $18,955.00 | 4 |
| Passy muir valve metal trach HCPCS L8501 | $164.85 | $299.73 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $124.11 – $569.58 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $124.11 – $314.68 | 3 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $256.27 – $256.27 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $37.96 – $157.73 | 3 |
| Patient recorded spirometry CPT 94014 | not published | not published | $325.44 – $433.92 | 2 |
| Patient recorded spirometry CPT 94015 | not published | not published | $157.30 – $209.73 | 2 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $191.29 – $1,553.79 | 5 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $475.44 – $623.00 | 3 |
| Pdgfra gene CPT 81314 | not published | not published | $247.13 – $1,967.22 | 5 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $146.16 – $2,036.00 | 3 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $93.74 – $124.98 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $93.74 – $124.98 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $22,247.97 – $54,005.71 | 5 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $28.97 – $143.23 | 5 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $102.68 – $250.87 | 5 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $111.85 – $258.48 | 5 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $107.75 – $551.87 | 5 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $50.27 – $231.81 | 5 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $78.83 – $339.51 | 5 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $2,947.00 – $6,913.84 | 5 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $169.25 – $437.53 | 5 |
| Pelvic control pelvic sling HCPCS L2580 | $271.63 | $493.88 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,901.90 | $3,458.00 | $127.78 – $1,617.02 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,743.50 | $3,170.00 | $127.78 – $1,358.47 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,585.65 | $2,883.00 | $76.16 – $736.75 | 3 |
| Pelvic exenteration CPT 45126 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,417.15 | $6,213.00 | $254.15 – $3,181.73 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | $3,291.20 | $5,984.00 | $254.15 – $2,632.65 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $1,901.90 | $3,458.00 | $173.82 – $2,446.72 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $5,286.15 – $9,052.00 | 4 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,041.15 | $1,893.00 | $76.16 – $617.64 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $477.95 | $869.00 | $76.16 – $184.76 | 3 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $45.48 – $111.27 | 5 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $5.21 – $9.75 | 5 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $14.64 – $33.00 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $24.44 – $55.67 | 5 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.13 – $1.67 | 3 |
| Penile injection CPT 54235 | $373.45 | $679.00 | $182.01 – $4,198.00 | 4 |
| Penile vascular study CPT 93980 | not published | not published | $76.16 – $101.55 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $76.16 – $101.55 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,567.95 – $9,052.00 | 4 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,567.95 – $16,624.00 | 4 |
| Penis study CPT 54240 | not published | not published | $157.30 – $4,198.00 | 4 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $115.28 – $156.50 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,023.49 – $5,055.18 | 5 |
| Perc cryo ablate renal tum CPT 50593 | $18,210.50 | $33,110.00 | $7,743.83 – $20,778.00 | 4 |
| Perc d-e cor revasc chro add HCPCS C9608 | $2,052.05 | $3,731.00 | $2,036.00 – $2,036.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $11,042.35 | $20,077.00 | $13,354.59 – $27,690.00 | 4 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $2,052.05 | $3,731.00 | $2,036.00 – $2,036.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $8,448.00 | $15,360.00 | $8,409.93 – $27,690.00 | 4 |
| Perc d-e cor stent ather br HCPCS C9603 | $3,473.25 | $6,315.00 | $2,036.00 – $2,036.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $15,199.80 | $27,636.00 | $13,354.59 – $27,690.00 | 4 |
| Perc drug-el cor stent bran HCPCS C9601 | $2,052.60 | $3,732.00 | $2,036.00 – $2,036.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $8,448.00 | $15,360.00 | $8,409.93 – $27,690.00 | 4 |
| Perc rf ablate renal tumor CPT 50592 | $11,033.55 | $20,061.00 | $4,404.16 – $21,366.00 | 4 |
| Percut ablate liver rf CPT 47382 | $10,366.95 | $18,849.00 | $4,404.16 – $21,366.00 | 4 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $60.60 – $78.28 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,587.85 | $2,887.00 | $4,982.00 – $4,982.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,202.85 | $2,187.00 | $1,146.77 – $4,982.00 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $6,436.65 | $11,703.00 | $17,504.00 – $17,504.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,852.39 – $9,052.00 | 4 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,358.24 – $8,124.00 | 4 |
| Peripheral vascular rehab CPT 93668 | $98.45 | $179.00 | $42.98 – $57.30 | 2 |
| Peri-proc device eval icd CPT 93287 | $182.05 | $331.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $182.05 | $331.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Peritoneogram rs&i CPT 74190 | $735.35 | $1,337.00 | $273.87 – $530.75 | 3 |
| Perit-vens shunt pat tst CPT 78291 | $1,021.90 | $1,858.00 | $291.23 – $1,774.43 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $10,210.75 | $18,565.00 | $17,504.00 – $17,504.00 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | $13,261.05 | $24,111.00 | $20,778.00 – $20,778.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $2,028.95 | $3,689.00 | $515.87 – $4,198.00 | 4 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $515.87 – $4,198.00 | 4 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $6,896.31 – $20,778.00 | 4 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,896.31 – $20,778.00 | 4 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $8,409.93 – $27,690.00 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $13,354.59 – $27,690.00 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $8,409.93 – $27,690.00 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $8,409.93 – $27,690.00 | 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.