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 |
|---|---|---|---|---|
| Plasma volume single CPT 78110 | not published | not published | $708.23 – $1,257.53 | 3 |
| Plastic surgery neck CPT 15819 | not published | not published | $3,863.00 – $4,982.00 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $107.80 | $196.00 | $18.68 – $174.74 | 5 |
| Platelet automated CPT 85049 | $22.00 | $40.00 | $3.36 – $36.41 | 5 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $321.40 – $4,198.00 | 4 |
| Platelets each unit HCPCS P9019 | $339.90 | $618.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $436.15 | $793.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $400.40 | $728.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $403.15 | $733.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $754.60 | $1,372.00 | $377.59 – $503.45 | 2 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $260.15 | $473.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $386.65 | $703.00 | $510.46 – $680.61 | 2 |
| Platelet survival CPT 78191 | not published | not published | $291.23 – $1,166.06 | 3 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $218.52 – $1,739.47 | 5 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,808.20 | $6,924.00 | $2,608.32 – $9,052.00 | 4 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,511.20 | $6,384.00 | $2,036.00 – $2,036.00 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,923.20 | $16,224.00 | $2,567.95 – $9,052.00 | 4 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $12,536.70 | $22,794.00 | $2,567.95 – $9,052.00 | 4 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $17,992.70 | $32,714.00 | $17,504.00 – $17,504.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,318.35 | $2,397.00 | $515.87 – $4,198.00 | 4 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $308.55 | $561.00 | $2,036.00 – $2,036.00 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $3,456.75 | $6,285.00 | $17,504.00 – $17,504.00 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $250.80 | $456.00 | $2,036.00 – $2,036.00 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $260.15 | $473.00 | $2,036.00 – $2,036.00 | 1 |
| Plerixafor injection HCPCS J2562 | not published | not published | $21.37 – $226.99 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $271.85 – $362.46 | 2 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | $6,408.05 | $11,651.00 | $4,716.17 – $9,052.00 | 4 |
| Plmt biliary drainage cath CPT 47534 | $5,379.00 | $9,780.00 | $2,608.32 – $9,052.00 | 4 |
| Plmt nephroureteral catheter CPT 50433 | $6,328.85 | $11,507.00 | $2,567.95 – $8,124.00 | 4 |
| Plmt ureteral stent prq CPT 50694 | $10,185.45 | $18,519.00 | $2,567.95 – $9,052.00 | 4 |
| Pm device progr eval dual CPT 93280 | $162.25 | $295.00 | $27.19 – $36.25 | 2 |
| Pm device progr eval multi CPT 93281 | $194.15 | $353.00 | $27.19 – $36.25 | 2 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $155.48 – $2,571.59 | 5 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $568.77 – $4,353.39 | 5 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $577.18 – $4,417.80 | 5 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $34.95 – $303.39 | 5 |
| Pm phone r-strip device eval CPT 93293 | $128.70 | $234.00 | $27.19 – $36.25 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $152.62 – $1,321.37 | 5 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $507.38 – $4,657.43 | 5 |
| Pms2 known familial variants CPT 81318 | not published | not published | $248.25 – $1,100.49 | 5 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $456.99 – $4,198.00 | 4 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $423.99 – $423.99 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $187.00 | $340.00 | $19.55 – $157.37 | 5 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $107.71 – $258.84 | 5 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,941.30 | $7,166.00 | $625.59 – $834.12 | 2 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $625.59 – $834.12 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,385.70 | $7,974.00 | $625.59 – $834.12 | 2 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $7.88 – $78.03 | 5 |
| Positional change of finger CPT 26555 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Positional nystagmus test CPT 92532 | $273.90 | $498.00 | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $18.75 – $45.33 | 5 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $271.85 – $362.46 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $58.85 | $107.00 | $3.55 – $34.99 | 5 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.16 – $0.32 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.37 – $34.76 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $39.05 | $71.00 | $3.57 – $37.38 | 5 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $102.75 – $817.91 | 5 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $646.46 – $646.46 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $674.30 | $1,226.00 | $579.85 – $579.85 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,853.00 | $12,460.00 | $5,286.15 – $19,855.00 | 4 |
| Pq thr inj ext pse CPT 36002 | $410.30 | $746.00 | $456.99 – $4,198.00 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,384.80 | $4,336.00 | $2,036.00 – $2,036.00 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,531.00 | $6,420.00 | $2,383.65 – $9,052.00 | 4 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,010.05 | $7,291.00 | $2,383.65 – $9,052.00 | 4 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $289.59 – $738.77 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,706.90 | $8,558.00 | $2,383.65 – $6,044.00 | 4 |
| Pr application of long arm splint CPT 29105 | $448.25 | $815.00 | $118.38 – $4,198.00 | 4 |
| Pr application splint static short arm CPT 29125 | $400.40 | $728.00 | $96.93 – $4,198.00 | 4 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $27.21 – $36.28 | 2 |
| Pr biopsy skin punch single lesion CPT 11104 | $415.80 | $756.00 | $296.15 – $4,198.00 | 4 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $9,052.00 – $19,855.00 | 4 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $34.10 | $62.00 | $27.30 – $36.39 | 2 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,323.85 | $2,407.00 | $4,982.00 – $4,982.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,323.85 | $2,407.00 | $4,982.00 – $4,982.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $4,139.30 | $7,526.00 | $2,567.95 – $8,124.00 | 4 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $523.05 | $951.00 | $146.16 – $4,198.00 | 4 |
| Prealbumin CPT 84134 | $119.35 | $217.00 | $10.94 – $45.44 | 5 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.35 – $1.05 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.02 | 3 |
| Pregabalin - sendout CPT 80366 | $68.75 | $125.00 | $140.94 – $140.94 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $3,050.85 | $5,547.00 | $1,397.92 – $4,982.00 | 4 |
| Pregnancy associated plasma protein-a CPT 84163 | $30.80 | $56.00 | $11.29 – $122.46 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,271.60 | $2,312.00 | $76.16 – $748.37 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $778.25 | $1,415.00 | $76.16 – $600.19 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $157.30 – $209.73 | 2 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $271.85 – $362.46 | 2 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $271.85 – $362.46 | 2 |
| Preparation for bladder xray CPT 51605 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $392.90 – $4,198.00 | 4 |
| Prepare donor heart CPT 33944 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $37.96 – $50.62 | 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.