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 |
|---|---|---|---|---|
| Perq p-art revsc each addl CPT 33904 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | $6,393.75 | $11,625.00 | $4,404.16 – $21,366.00 | 4 |
| Perq plmt bile duct stent CPT 47539 | $9,880.75 | $17,965.00 | $4,404.16 – $21,366.00 | 4 |
| Perq plmt bile duct stent CPT 47540 | $10,198.10 | $18,542.00 | $4,404.16 – $21,366.00 | 4 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $608.85 | $1,107.00 | $182.01 – $4,198.00 | 4 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $13,354.59 – $40,147.00 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $13,354.59 – $41,279.00 | 4 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $13,354.59 – $41,279.00 | 4 |
| Perq transcath septal reduxn CPT 93583 | $5,762.90 | $10,478.00 | $14,021.00 – $14,021.00 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,415.31 – $16,624.00 | 4 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $3,863.00 – $13,962.00 | 4 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,415.31 – $16,624.00 | 4 |
| Pertussis ag if CPT 87265 | not published | not published | $8.98 – $97.49 | 5 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $12.90 – $32.09 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $44.92 – $120.44 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,848.80 | $8,816.00 | $1,041.72 – $6,778.28 | 3 |
| Pet CT whole body initial CPT 78816 | $4,920.30 | $8,946.00 | $1,041.72 – $6,837.40 | 3 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,122.45 | $3,859.00 | $1,041.72 – $4,098.64 | 3 |
| Pet image full body CPT 78813 | not published | not published | $1,041.72 – $5,377.38 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $943.15 – $4,241.75 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,041.72 – $5,357.32 | 3 |
| Pet image w/ct lmtd CPT 78814 | $4,085.40 | $7,428.00 | $1,041.72 – $6,108.38 | 3 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $291.23 – $388.31 | 2 |
| Pet scan brain perf study CPT 78609 | not published | not published | $627.44 – $627.44 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,562.03 | $2,840.05 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Ph body fluid CPT 83986 | $68.75 | $125.00 | $2.68 – $29.13 | 5 |
| Phencyclidine (pcp) CPT 83992 | $243.65 | $443.00 | $119.51 – $119.51 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $42.69 – $56.91 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $58.85 | $107.00 | $11.48 – $93.13 | 5 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $216.47 – $829.36 | 5 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.01 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.72 – $1.25 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $152.90 | $278.00 | $9.94 – $107.83 | 5 |
| Phlebotomy therapeutic CPT 99195 | $157.30 | $286.00 | $96.93 – $129.23 | 2 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $2,300.22 – $9,052.00 | 4 |
| Phosphorus CPT 84100 | $31.35 | $57.00 | $3.56 – $38.57 | 5 |
| Phosphorus 24 hour urine CPT 84105 | $12.10 | $22.00 | $4.34 – $42.11 | 5 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $42.98 – $57.30 | 2 |
| Photochemotherapy puva CPT 96912 | not published | not published | $42.98 – $57.30 | 2 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $296.15 – $394.86 | 2 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $42.98 – $57.30 | 2 |
| Photopheresis CPT 36522 | not published | not published | $3,172.98 – $16,624.00 | 4 |
| Photosensitivity tests CPT 95056 | not published | not published | $96.93 – $129.23 | 2 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $37.96 – $325.60 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $124.11 – $329.69 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $21.07 – $329.69 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $3.55 – $5.40 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $206.12 – $1,640.77 | 5 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $5,286.15 – $18,955.00 | 3 |
| Pin caspar distraction 12mm HCPCS C1821 | $5,881.55 | $10,693.73 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $538.41 – $4,198.00 | 4 |
| Pin finger dislocation CPT 26776 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Pin finger fracture each CPT 26756 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Pin hand dislocation CPT 26676 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Pinworm exam CPT 87172 | $44.00 | $80.00 | $3.20 – $34.76 | 5 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.20 – $44.01 | 5 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.62 – $2.11 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $434.61 – $4,713.63 | 5 |
| Place breast cath for rad CPT 19297 | not published | not published | $18,955.00 – $18,955.00 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $10,039.42 – $18,955.00 | 4 |
| Place cath intracranial art CPT 36228 | $2,038.30 | $3,706.00 | $2,036.00 – $2,036.00 | 1 |
| Place cath xtrnl carotid CPT 36227 | $9,368.70 | $17,034.00 | $2,036.00 – $2,036.00 | 1 |
| Place cecostomy tube perc CPT 49442 | $2,569.60 | $4,672.00 | $871.75 – $4,982.00 | 4 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,008.34 – $4,982.00 | 3 |
| Place duod/jej tube perc CPT 49441 | $2,985.40 | $5,428.00 | $1,397.92 – $4,982.00 | 4 |
| Place endorectal app HCPCS C9725 | not published | not published | $677.47 – $3,193.00 | 3 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Place gastrostomy tube perc CPT 49440 | $2,038.85 | $3,707.00 | $1,397.92 – $4,982.00 | 4 |
| Placement bile duct support CPT 47801 | $9,969.30 | $18,126.00 | $6,044.00 – $6,044.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,166.00 | $2,120.00 | $1,203.19 – $4,198.00 | 4 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $260.15 | $473.00 | $2,036.00 – $2,036.00 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,464.10 | $2,662.00 | $515.87 – $4,198.00 | 4 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,758.50 | $10,470.00 | $1,522.84 – $8,124.00 | 4 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $371.80 | $676.00 | $2,036.00 – $2,036.00 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,022.07 – $8,124.00 | 4 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $7,158.25 | $13,015.00 | $8,409.93 – $27,690.00 | 4 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Place needles h&n for right CPT 41019 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Place needles pelvic for right CPT 55920 | not published | not published | $3,644.28 – $13,962.00 | 4 |
| Place non-slctv cath thoracic arta CPT 36221 | $2,814.35 | $5,117.00 | $2,300.22 – $9,052.00 | 4 |
| Placental lactogen CPT 83632 | not published | not published | $15.16 – $164.41 | 5 |
| Place po breast cath for rad CPT 19296 | not published | not published | $5,954.31 – $20,778.00 | 4 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,008.34 – $4,982.00 | 4 |
| Place slctv cath carotd art uni CPT 36224 | $7,852.35 | $14,277.00 | $4,053.72 – $18,955.00 | 4 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $7,852.35 | $14,277.00 | $2,300.22 – $9,052.00 | 4 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $7,852.35 | $14,277.00 | $4,053.72 – $18,955.00 | 4 |
| Place slctv cath subclavian art CPT 36225 | $13,637.25 | $24,795.00 | $2,300.22 – $9,052.00 | 4 |
| Place slctv cath vertebral art uni CPT 36226 | $14,752.10 | $26,822.00 | $4,053.72 – $18,955.00 | 4 |
| Plasma volume multiple CPT 78111 | not published | not published | $716.93 – $1,257.53 | 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.