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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,503.10 – $4,982.00 | 4 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $480.55 – $3,827.23 | 5 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,430.00 – $14,580.00 | 5 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Troponin quantitative CPT 84484 | $151.80 | $276.00 | $9.35 – $80.01 | 5 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $400.67 – $4,198.00 | 4 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $571.09 – $761.45 | 2 |
| Tte w or without fol w/con,stres HCPCS C8928 | $854.70 | $1,554.00 | $571.09 – $761.45 | 2 |
| Tte w or without fol w/cont, com HCPCS C8921 | $935.55 | $1,701.00 | $571.09 – $761.45 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $571.09 – $761.45 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $4,404.16 – $21,366.00 | 4 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $150.49 | $273.62 | not published | 0 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $99.91 | $181.65 | not published | 0 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $87.42 | $158.95 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $321.40 – $4,198.00 | 4 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $5,402.14 – $20,778.00 | 4 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $9,052.00 – $13,962.00 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | $22,629.75 | $41,145.00 | $14,021.00 – $40,147.00 | 4 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $179.70 – $14,021.00 | 4 |
| Tx closed hip disl traumatic without anes CPT 27250 | $766.15 | $1,393.00 | $179.70 – $4,198.00 | 4 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $2,383.65 – $6,044.00 | 4 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $179.70 – $4,198.00 | 4 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $538.41 – $4,198.00 | 4 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $538.41 – $4,198.00 | 4 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Tx l/r atrial fib addl CPT 93657 | $1,279.85 | $2,327.00 | $2,036.00 – $2,036.00 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $179.70 – $4,198.00 | 4 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,130.33 – $8,124.00 | 4 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,415.31 – $16,624.00 | 4 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $157.30 – $209.73 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $392.90 – $4,198.00 | 4 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Tyms gene com variants CPT 81346 | not published | not published | $131.11 – $1,003.52 | 5 |
| U2af1 gene common variants CPT 81357 | not published | not published | $144.94 – $1,153.74 | 5 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.02 – $25.79 | 5 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $54.18 – $136.62 | 5 |
| Ugt1a1 gene analy common variants CPT 81350 | $618.20 | $1,124.00 | $175.50 – $1,343.28 | 5 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $597.85 | $1,087.00 | $76.16 – $542.33 | 3 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $33.70 – $101.55 | 3 |
| Ultrasound breast complete CPT 76641 | $723.80 | $1,316.00 | $76.16 – $579.85 | 3 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,349.70 | $2,454.00 | $63.40 – $443.33 | 3 |
| Ultrasound chest CPT 76604 | $748.00 | $1,360.00 | $76.16 – $498.51 | 3 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $830.50 | $1,510.00 | $76.16 – $178.94 | 3 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $76.16 – $324.19 | 3 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $276.57 – $276.57 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $76.16 – $635.72 | 3 |
| Ultrasound encephalogram CPT 76506 | $549.45 | $999.00 | $76.16 – $701.89 | 3 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,045.55 | $1,901.00 | $76.16 – $972.08 | 3 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,018.05 | $1,851.00 | $76.16 – $405.55 | 3 |
| Ultrasound guidance for vascular access CPT 76937 | $435.05 | $791.00 | $139.43 – $139.43 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,177.00 | $2,140.00 | $225.44 – $225.44 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $1,318.35 | $2,397.00 | $502.39 – $502.39 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $1,300.75 | $2,365.00 | $512.30 – $512.30 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $1,096.15 | $1,993.00 | $63.40 – $887.82 | 3 |
| Ultrasound infant hips ltd without stress CPT 76886 | $860.20 | $1,564.00 | $63.40 – $617.64 | 3 |
| Ultrasound joint complete left CPT 76881 | $770.55 | $1,401.00 | $76.16 – $684.44 | 3 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $548.90 | $998.00 | $76.16 – $101.55 | 3 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $76.16 – $125.16 | 3 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $945.45 | $1,719.00 | $357.33 – $357.33 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $491.70 | $894.00 | $183.04 – $183.04 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $2,101.55 | $3,821.00 | $173.82 – $689.07 | 3 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $644.05 | $1,171.00 | $76.16 – $585.67 | 3 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $677.05 | $1,231.00 | $76.16 – $422.98 | 3 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $812.90 | $1,478.00 | $76.16 – $483.97 | 3 |
| Ultrasound prostate/transrectal CPT 76872 | $675.95 | $1,229.00 | $76.16 – $495.59 | 3 |
| Ultrasound retroperitoneal limited CPT 76775 | $777.15 | $1,413.00 | $76.16 – $237.04 | 3 |
| Ultrasound scrotum and contents CPT 76870 | $785.40 | $1,428.00 | $76.16 – $289.34 | 3 |
| Ultrasound spinal canal and contents CPT 76800 | $417.45 | $759.00 | $76.16 – $664.09 | 3 |
| Ultrasound transabd ea addl gest CPT 76812 | $832.70 | $1,514.00 | $940.08 – $940.08 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $816.20 | $1,484.00 | $76.16 – $713.50 | 3 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $254.15 – $2,001.12 | 3 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $1,461.48 – $1,461.48 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $5.92 – $7.89 | 2 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $222.00 – $4,198.00 | 4 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | $37.95 | $69.00 | $21.07 – $28.09 | 2 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $21.07 – $28.09 | 2 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $34.11 – $45.48 | 2 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $172.55 – $14,021.00 | 4 |
| Unlisted CT procedure CPT 76497 | not published | not published | $63.40 – $641.08 | 3 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $291.23 – $388.31 | 2 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $37.96 – $50.62 | 2 |
| Unlisted cytopathology px CPT 88199 | 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.