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 |
|---|---|---|---|---|
| Suspension of uterus CPT 58410 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $9,052.00 – $13,962.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Svc venogram s&i CPT 75827 | $2,214.30 | $4,026.00 | $669.92 – $1,529.03 | 3 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $29.82 – $50.62 | 3 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,422.56 – $4,982.00 | 4 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $10.66 – $16.47 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $27.21 – $36.28 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $4.51 – $17.27 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $31.35 | $57.00 | $3.30 – $35.77 | 5 |
| System cardiomems hosp electronics HCPCS C2624 | $37,905.11 | $68,918.38 | not published | 0 |
| System pacing micra av HCPCS C1786 | $19,076.82 | $34,685.13 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $32,518.75 | $59,125.00 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $743.09 | $1,351.08 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $100.65 | $183.00 | $12.70 – $96.12 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $7.15 | $13.00 | $10.64 – $115.30 | 5 |
| T4 (thyroxine) free CPT 84439 | $138.60 | $252.00 | $6.76 – $73.31 | 5 |
| T4 (thyroxine) total CPT 84436 | $7.70 | $14.00 | $5.15 – $55.82 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.82 – $1.11 | 3 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.56 – $3.48 | 3 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.28 – $0.33 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $201.13 – $498.24 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $43.45 | $79.00 | $10.30 – $111.72 | 5 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $10.82 – $26.74 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $21,366.00 – $21,366.00 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $58.00 – $139.74 | 5 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $57.54 – $137.55 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $90.66 – $130.13 | 5 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,158.00 | $7,560.00 | $569.65 – $3,871.05 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,762.00 | $6,840.00 | $2,189.70 – $16,760.06 | 5 |
| Target gsa panel organ neop CPT 81445 | $5,036.90 | $9,158.00 | $448.43 – $3,569.61 | 5 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,209.32 – $2,978.24 | 4 |
| Tas congenital car anomal CPT 33741 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $538.41 – $4,198.00 | 4 |
| Tavr perq femoral CPT 33361 | $7,854.55 | $14,281.00 | $20,778.00 – $20,778.00 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.18 – $0.74 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $102.75 – $817.91 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $341.52 – $341.52 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $87.54 – $87.54 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $63.40 – $235.89 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $18.10 – $84.53 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $164.45 | $299.00 | $75.00 – $609.38 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $149.05 | $271.00 | $46.48 – $504.07 | 5 |
| Tc-99m arcitumomab HCPCS A9568 | $2,894.10 | $5,262.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $1,696.75 | $3,085.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,463.55 | $2,661.00 | not published | 0 |
| Tc-99m exametazime diag HCPCS A9521 | $939.95 | $1,709.00 | not published | 0 |
| Tc-99m gluceptate HCPCS A9550 | $61.60 | $112.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $267.30 | $486.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $231.00 | $420.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $143.55 | $261.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $67.65 | $123.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $551.10 | $1,002.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $12.65 | $23.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $142.45 | $259.00 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $175.45 | $319.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.79 | $3.25 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $1.79 | $3.25 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $274.45 | $499.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $371.80 | $676.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $68.75 | $125.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $273.90 | $498.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $545.60 | $992.00 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $538.41 – $4,198.00 | 4 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $76.16 – $101.55 | 2 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $76.16 – $101.55 | 2 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $321.40 – $4,198.00 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $52.25 | $95.00 | $35.24 – $382.17 | 5 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $20.08 – $217.72 | 5 |
| T cells total count CPT 86359 | $52.25 | $95.00 | $28.30 – $306.81 | 5 |
| Tcranial magn stim tx deli CPT 90868 | $374.55 | $681.00 | $157.30 – $209.73 | 2 |
| Tcranial magn stim tx plan CPT 90867 | $411.40 | $748.00 | $157.30 – $209.73 | 2 |
| Tcran magn stim redetemine CPT 90869 | $275.55 | $501.00 | $157.30 – $209.73 | 2 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $171.00 – $412.47 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $786.50 | $1,430.00 | $571.09 – $761.45 | 2 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $571.09 – $761.45 | 2 |
| Telavancin injection HCPCS J3095 | not published | not published | $5.61 – $14.19 | 5 |
| Telethx isodose plan cplx CPT 77307 | $388.85 | $707.00 | $272.77 – $1,132.39 | 3 |
| Telethx isodose plan simple CPT 77306 | $276.65 | $503.00 | $272.77 – $628.07 | 3 |
| Temozolomide HCPCS J8700 | not published | not published | $0.34 – $0.69 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $7.81 – $19.75 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $93.74 – $124.98 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $24.51 – $61.34 | 5 |
| Tendon lengthening CPT 26476 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Tendon shortening CPT 26477 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $163.07 – $326.68 | 5 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $5,286.15 – $19,855.00 | 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.