healthcosts.net

SSM Health St. Mary's Hospital - Madison

700 South Park St, Madison, WI · SSM Health · · NPI 1902290034

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

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
Ureter endoscopy & biopsy CPT 50974 not published not published $3,863.00 – $13,962.00 4
Ureter endoscopy & catheter CPT 50972 not published not published $2,567.95 – $6,044.00 4
Ureter endoscopy & treatment CPT 50957 not published not published $3,906.07 – $13,962.00 4
Ureter endoscopy & treatment CPT 50961 not published not published $3,906.07 – $13,962.00 4
Ureter endoscopy & treatment CPT 50976 not published not published $3,863.00 – $13,962.00 4
Ureter endoscopy & treatment CPT 50980 not published not published $3,906.07 – $13,962.00 4
Ureteroneocystostomy 50780 CPT 50780 not published not published $6,044.00 – $8,124.00 2
Ureteroureterostomy 50760 CPT 50760 not published not published $6,044.00 – $6,044.00 1
Urethrcystgrphy rtrgrde s&i CPT 74450 $468.05 $851.00 $173.82 – $425.60 3
Urethrlys transvag with scope CPT 53500 not published not published $2,567.95 – $9,052.00 4
Urethrocystography void s&i CPT 74455 $855.80 $1,556.00 $173.82 – $527.58 3
Uric acid blood CPT 84550 $31.35 $57.00 $3.39 – $36.77 5
Uric acid urine CPT 84560 $39.05 $71.00 $3.81 – $38.64 5
Urinalysis glass test CPT 81020 not published not published $3.52 – $29.97 5
Urinalysis microscopic only CPT 81015 $55.00 $100.00 $2.29 – $24.79 5
Urinalysis qual/semiquant excpt ia CPT 81005 not published not published $1.63 – $17.63 5
Urinalysis (with microscopy) CPT 81001 $63.80 $116.00 $2.38 – $25.79 5
Urinalysis (without microscopy) CPT 81003 $37.40 $68.00 $1.69 – $18.27 5
Urinary bldr retent nuc study CPT 78730 not published not published $579.85 – $579.85 1
Urinary reflex study CPT 51792 $399.85 $727.00 $42.98 – $2,036.00 3
Urine Culture Test CPT 87086 $103.95 $189.00 $6.05 – $65.69 5
Urine flow measurement 51736 CPT 51736 not published not published $96.93 – $2,036.00 3
Urine pregnancy test CPT 81025 $90.75 $165.00 $6.46 – $51.41 5
Urine screen for bacteria CPT 81007 not published not published $20.84 – $52.47 5
Urine shunt to intestine CPT 50815 not published not published $6,044.00 – $6,044.00 1
Urine specimen collect mult HCPCS P9615 not published not published $11.36 – $17.91 3
Urography, antegrade CPT 74425 $542.30 $986.00 $254.15 – $2,843.03 3
Urography inf drip &/or bolus CPT 74410 not published not published $127.78 – $678.63 3
Use 1st target lesion CPT 76982 not published not published $76.16 – $542.55 3
Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 not published not published $8.52 – $25.25 5
Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 not published not published $229.33 – $288.38 2
U/s trtmt, not leiomyomata HCPCS C9734 not published not published $8,124.00 – $20,778.00 4
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 not published not published $211.58 – $307.14 3
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 not published not published $211.58 – $279.41 3
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 not published not published $190.10 – $296.20 3
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 not published not published $127.28 – $166.78 3
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 not published not published $95.05 – $124.55 3
Vaccine hepatitis a (hepa) adult im CPT 90632 not published not published $102.06 – $138.10 3
Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 not published not published $108.96 – $142.78 3
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 not published not published $102.05 – $133.71 3
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 not published not published $244.03 – $337.35 3
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 not published not published $44.62 – $60.17 3
Vaccine influenza (iiv) preservative free antigen content im CPT 90662 not published not published $106.43 – $158.63 3
Vaccine influenza inactivated adjuvant im CPT 90653 not published not published $121.06 – $158.63 3
Vaccine influenza nos 0.5ml dose im CPT 90658 not published not published $31.70 – $41.53 3
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 not published not published $32.41 – $42.47 3
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 not published not published $30.27 – $30.27 1
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 not published not published $112.17 – $112.17 1
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 not published not published $32.41 – $32.41 1
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 not published not published $15.14 – $15.14 1
Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 not published not published $40.29 – $40.29 1
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 not published not published $106.43 – $106.43 1
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 not published not published $53.43 – $70.01 3
Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 not published not published $15.85 – $20.77 3
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 not published not published $193.53 – $253.60 3
Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 not published not published $374.08 – $490.18 3
Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 not published not published $367.66 – $496.18 3
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 not published not published $432.15 – $594.51 3
Vaccine rabies im CPT 90675 not published not published $248.98 – $606.39 5
Vaccine tdap >=7 years im CPT 90715 not published not published $55.52 – $75.45 3
Vaccine td preservative free >= 7 years im CPT 90714 not published not published $40.33 – $69.09 3
Vaccinia vrs vac 0.3 ml perq CPT 90622 not published not published $0.01 – $0.01 3
Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 not published not published $3,644.28 – $13,962.00 4
Vag hyst incl t/o complex CPT 58291 not published not published $3,644.28 – $16,624.00 4
Vag hyst including t/o CPT 58262 not published not published $3,644.28 – $13,962.00 4
Vag hyst t/o & repair compl CPT 58292 not published not published $5,402.14 – $20,778.00 4
Vag hyst w/enterocele compl 58294 CPT 58294 not published not published $3,644.28 – $16,624.00 4
Vag hyst w/enterocele repair CPT 58270 not published not published $3,644.28 – $13,962.00 4
Vaginal bx CPT 58999 not published not published $147.28 – $14,021.00 4
Vaginal delivery after cesarean delivery 59612 CPT 59612 not published not published $2,358.24 – $8,124.00 4
Vaginal Delivery (full care) CPT 59400 not published not published $6,044.00 – $6,044.00 1
Vaginal hysterectomy CPT 58260 not published not published $3,644.28 – $13,962.00 4
Vaginectomy partial w/nodes CPT 57109 not published not published $2,358.24 – $8,124.00 4
Vagnc compl rmvl paravag tis CPT 57111 not published not published $9,052.00 – $13,962.00 2
Vagnc compl rmvl vag wall CPT 57110 not published not published $13,962.00 – $13,962.00 1
Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 not published not published $6,044.00 – $6,044.00 1
Vagotomy & pylorus repair CPT 43641 not published not published $6,044.00 – $6,044.00 1
Vagotomy & pylorus repair 43640 CPT 43640 not published not published $6,044.00 – $6,044.00 1
Valproic acid total therapeutic drug level CPT 80164 $185.35 $337.00 $10.16 – $110.21 5
Valrubicin injection HCPCS J9357 not published not published $935.29 – $2,615.89 5
Valvuloplasty aortic CPT 92986 $6,511.45 $11,839.00 $4,146.30 – $18,955.00 4
Valvuloplasty aortic valve CPT 33390 not published not published $20,778.00 – $20,778.00 1
Valvuloplasty aortic valve CPT 33391 not published not published $14,021.00 – $14,021.00 1
Valvuloplasty mitral CPT 92987 not published not published $8,409.93 – $20,778.00 4
Valvuloplasty pulmonary CPT 92990 not published not published $8,409.93 – $20,778.00 4
Valvuloplasty/tv without ring insert 33463 CPT 33463 not published not published $20,778.00 – $20,778.00 1
Valvuloplasty/tv w/ring insertion 33464 CPT 33464 not published not published $20,778.00 – $20,778.00 1
Vancomycin 1,000 mg intravenous injection HCPCS J3373 not published not published $0.06 – $0.06 1
Vancomycin 750 mg intravenous solution HCPCS J3374 not published not published $0.23 – $0.23 1
Vancomycin hcl injection HCPCS J3370 not published not published $2.83 – $3.44 2
Vancomycin peak therapeutic drug level CPT 80202 $161.70 $294.00 $10.16 – $110.21 5
Vanomycin dna amp probe CPT 87500 not published not published $26.32 – $285.37 5
Varicella zoster antibody igg CPT 86787 $15.40 $28.00 $9.66 – $47.30 5
Vasc emb/occ w/prs cath HCPCS C9797 not published not published $13,354.59 – $17,806.11 3
Vasc graft into carpal bone CPT 25430 not published not published $2,383.65 – $16,624.00 4
Vasectomy CPT 55250 not published not published $1,522.84 – $8,124.00 4
Vasopressin 20 unit/ml intravenous solution HCPCS J2598 not published not published $2.06 – $3.02 3
Vbac delivery 59610 CPT 59610 not published not published $6,044.00 – $6,044.00 1
Vbac/include postpartum care 59614 CPT 59614 not published not published $6,044.00 – $6,044.00 1
Vedolizumab 300 mg intravenous solution HCPCS J3380 not published not published $16.22 – $41.92 5

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.