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 |
|---|---|---|---|---|
| Protein total body fluid CPT 84157 | $86.35 | $157.00 | $3.00 – $29.87 | 5 |
| Protein total serum plasma whole blood CPT 84155 | $31.35 | $57.00 | $2.75 – $29.87 | 5 |
| Protein western blot tissue CPT 88371 | not published | not published | $27.79 – $180.71 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $86.90 | $158.00 | $2.96 – $32.06 | 5 |
| Proton treatment complex CPT 77525 | not published | not published | $910.44 – $9,506.50 | 3 |
| Proton trmt intermediate CPT 77523 | not published | not published | $910.44 – $8,592.51 | 3 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $910.44 – $7,396.79 | 3 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $402.53 – $7,376.73 | 3 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.30 – $70.04 | 5 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,608.32 – $9,052.00 | 4 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $13,354.59 – $27,690.00 | 4 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $13,354.59 – $27,690.00 | 4 |
| Prq card angio/athrect addl CPT 92925 | $1,421.20 | $2,584.00 | $27,690.00 – $27,690.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | $1,393.15 | $2,533.00 | $18,955.00 – $18,955.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | $2,052.05 | $3,731.00 | $18,955.00 – $18,955.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $8,448.00 | $15,360.00 | $18,955.00 – $20,778.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $11,623.15 | $21,133.00 | $14,021.00 – $14,021.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | $3,022.80 | $5,496.00 | $18,955.00 – $18,955.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | $2,052.05 | $3,731.00 | $18,955.00 – $18,955.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $8,448.00 | $15,360.00 | $8,409.93 – $20,778.00 | 4 |
| Prq revasc byp graft addl CPT 92938 | $2,052.05 | $3,731.00 | $18,955.00 – $18,955.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,171.42 – $8,124.00 | 4 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $8,448.00 | $15,360.00 | $8,409.93 – $20,778.00 | 4 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $13,354.59 – $17,806.11 | 2 |
| Prq trlml c athrc st angiop1 CPT 92933 | $15,199.80 | $27,636.00 | $13,354.59 – $18,955.00 | 4 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Prq trluml c angiop 1art&/br CPT 92920 | $7,974.45 | $14,499.00 | $4,146.30 – $18,955.00 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $7,153.30 | $13,006.00 | $8,409.93 – $27,690.00 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | $8,448.00 | $15,360.00 | $8,409.93 – $20,778.00 | 4 |
| Pr removal drug delivery implant CPT 11982 | $2,616.90 | $4,758.00 | $325.44 – $4,198.00 | 4 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $297.55 | $541.00 | $96.93 – $4,198.00 | 4 |
| Pr removal intrauterine device CPT 58301 | $861.85 | $1,567.00 | $222.00 – $4,198.00 | 4 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $739.20 | $1,344.00 | $296.15 – $4,198.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $539.55 | $981.00 | $146.16 – $4,198.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $539.55 | $981.00 | $146.16 – $4,198.00 | 4 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $519.75 | $945.00 | $146.16 – $4,198.00 | 4 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $704.00 | $1,280.00 | $146.16 – $4,198.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $321.40 – $4,198.00 | 4 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $5,286.15 – $9,052.00 | 4 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $5,286.15 – $9,052.00 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,258.85 | $4,107.00 | $1,146.77 – $4,982.00 | 4 |
| PSA (Prostate) Test CPT 84153 | $174.90 | $318.00 | $13.79 – $149.60 | 5 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $21.07 – $28.09 | 2 |
| Psychoanalysis CPT 90845 | not published | not published | $129.31 – $172.41 | 2 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $129.31 – $172.41 | 2 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $129.31 – $172.41 | 2 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $129.31 – $172.41 | 2 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $157.30 – $209.73 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $325.44 – $433.92 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $96.93 – $129.23 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $112.75 | $205.00 | $10.66 – $14.21 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $111.65 | $203.00 | $13.79 – $18.39 | 2 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $112.75 | $205.00 | $10.38 – $13.84 | 2 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $10.41 – $13.88 | 2 |
| Pten gene dup/delet variant CPT 81323 | $729.85 | $1,327.00 | $225.00 – $525.00 | 5 |
| Pten gene full sequence CPT 81321 | $729.85 | $1,327.00 | $450.00 – $3,580.90 | 5 |
| Pten gene known fam variant CPT 81322 | not published | not published | $34.95 – $348.13 | 5 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $513.15 | $933.00 | $71.78 – $95.70 | 2 |
| Pt evaluation low complexity patient/family CPT 97161 | $251.90 | $458.00 | $71.78 – $95.70 | 2 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $343.20 | $624.00 | $71.78 – $95.70 | 2 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $27.30 – $36.39 | 2 |
| Pt re-evaluation patient/family CPT 97164 | $142.45 | $259.00 | $49.33 – $65.77 | 2 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $108.90 | $198.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $9.14 – $12.19 | 2 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $112.75 | $205.00 | $21.19 – $28.25 | 2 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $111.65 | $203.00 | $21.56 – $28.75 | 2 |
| Pt wheelchair management each 15 minutes CPT 97542 | $59.95 | $109.00 | $22.66 – $30.21 | 2 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $8,409.93 – $18,955.00 | 3 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $18,955.00 – $18,955.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,057.20 – $32,835.85 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Pulmonary vent imaging CPT 78579 | $1,171.50 | $2,130.00 | $291.23 – $1,376.43 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | $315.70 | $574.00 | $93.74 – $124.98 | 2 |
| Pulse ox multiple CPT 94761 | $92.95 | $169.00 | not published | 0 |
| Pulse ox single CPT 94760 | $55.00 | $100.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $514.23 – $4,198.00 | 4 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $173.25 | $315.00 | $96.93 – $4,198.00 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $570.90 | $1,038.00 | $296.15 – $4,198.00 | 4 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,206.15 | $2,193.00 | $514.23 – $4,198.00 | 4 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $90.66 – $205.04 | 5 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $90.66 – $134.97 | 5 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $514.23 – $4,198.00 | 4 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $514.23 – $4,198.00 | 4 |
| Pyelotomy complicated CPT 50135 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $6,044.00 – $6,044.00 | 1 |
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.