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 |
|---|---|---|---|---|
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $14.63 – $29.19 | 3 |
| Pyruvate CPT 84210 | $143.55 | $261.00 | $10.86 – $88.30 | 5 |
| Pyruvate kinase CPT 84220 | $48.40 | $88.00 | $7.08 – $76.75 | 5 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $96.93 – $129.23 | 2 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,002.55 | $3,641.00 | $395.55 – $2,243.89 | 3 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,256.75 | $2,285.00 | $291.23 – $1,408.39 | 3 |
| Quest t3 uptake CPT 84479 | $7.70 | $14.00 | $4.85 – $52.61 | 5 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $182.40 – $463.46 | 5 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $210.89 – $518.68 | 5 |
| Radial keratotomy CPT 65771 | not published | not published | $6,044.00 – $8,124.00 | 2 |
| Radiation handling CPT 77790 | not published | not published | $120.85 – $120.85 | 1 |
| Radiation physics consult CPT 77336 | $283.25 | $515.00 | $97.92 – $642.48 | 3 |
| Radiation therapy dose plan CPT 77300 | $129.80 | $236.00 | $97.92 – $280.62 | 3 |
| Radiation therapy management CPT 77431 | not published | not published | $846.10 – $846.10 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $97.92 – $449.12 | 3 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $77.25 – $130.56 | 3 |
| Radiation treatment aid(s) CPT 77334 | $295.35 | $537.00 | $272.77 – $722.22 | 3 |
| Radiation treatment delivery CPT 77401 | not published | not published | $199.27 – $199.27 | 1 |
| Radiation treatment delivery CPT 77402 | $289.30 | $526.00 | $74.33 – $1,175.44 | 3 |
| Radiation treatment delivery CPT 77412 | $422.40 | $768.00 | $402.53 – $2,270.68 | 3 |
| Radiation tx management x5 CPT 77427 | not published | not published | $1,540.06 – $1,540.06 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Radiology port images(s) CPT 77417 | $73.70 | $134.00 | $88.88 – $88.88 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $7,544.90 | $13,718.00 | $1,008.34 – $12,590.66 | 3 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $254.10 | $462.00 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,115.95 | $2,029.00 | $395.55 – $2,394.97 | 3 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,492.15 | $2,713.00 | $395.55 – $4,352.45 | 3 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,562.00 | $2,840.00 | $943.15 – $5,140.54 | 3 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,274.90 | $2,318.00 | $395.55 – $2,441.45 | 3 |
| Radphm lcl tumor plr sgl day CPT 78800 | $955.90 | $1,738.00 | $291.23 – $1,332.85 | 3 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $665.19 – $665.19 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,116.08 – $8,124.00 | 4 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,116.08 – $6,044.00 | 4 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $57.42 – $141.46 | 5 |
| Range of motion measurements CPT 95852 | not published | not published | $3.56 – $4.74 | 2 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $38.32 – $229.36 | 5 |
| Rapid desensitization CPT 95180 | not published | not published | $325.44 – $433.92 | 2 |
| Rapid Strep Test CPT 87880 | $85.80 | $156.00 | $12.40 – $97.49 | 5 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $290.59 – $715.31 | 5 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $170.19 – $427.87 | 5 |
| Rb82 rubidium HCPCS A9555 | $342.65 | $623.00 | not published | 0 |
| Rbc count only automated CPT 85041 | not published | not published | $2.26 – $24.52 | 5 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $321.40 – $4,198.00 | 4 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $6.45 – $69.97 | 5 |
| Rbc osmotic fragility CPT 85555 | $91.30 | $166.00 | $5.60 – $54.33 | 5 |
| Rbc serum pretx incubj drugs CPT 86975 | $138.05 | $251.00 | $173.62 – $433.92 | 3 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Realignment of knee CPT 27457 | not published | not published | $5,286.15 – $16,624.00 | 4 |
| Realignment of knee CPT 27455 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Realignment of tendons CPT 26437 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Realignment of thigh bone CPT 27454 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rechanneling of artery CPT 35361 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Recipient nephrectomy CPT 50340 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Recon, cta for surg plan HCPCS G0288 | $2,456.85 | $4,467.00 | $288.59 – $288.59 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $21,366.00 – $21,366.00 | 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.