Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)
13111 N Port Washington Rd, Mequon, WI · Ascension · · NPI 1316000706
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $127.23 | 16 |
| 17-hydroxypregnenolone CPT 84143 | $91.16 | $172.00 | $22.81 – $99.73 | 16 |
| 17-ketosteroids CPT 83586 | $96.46 | $182.00 | $12.80 – $56.18 | 16 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $125.45 – $275.99 | 9 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $1,453.11 – $2,461.70 | 6 |
| 2019-ncov diagnostic p HCPCS U0001 | $75.79 | $143.00 | $37.72 – $61.06 | 9 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $36.30 – $276.06 | 9 |
| 2nd order venous cath CPT 36012 | $5,224.74 | $9,858.00 | $265.80 – $3,495.33 | 6 |
| 3d ech img cgen car anomal CPT 93319 | $825.74 | $1,558.00 | $90.27 – $226.03 | 6 |
| 3-d radiotherapy plan CPT 77295 | $4,462.07 | $8,419.00 | $372.44 – $732.31 | 6 |
| 3d recon without postprocess indpndt CPT 76376 | $593.07 | $1,119.00 | $15.54 – $32.70 | 6 |
| 5' nucleotidase - sendout CPT 83915 | $38.16 | $72.00 | $11.15 – $48.14 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $109.18 | $206.00 | $20.23 – $69.45 | 12 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $119.97 – $286.14 | 6 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $127.91 – $299.33 | 6 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $135.86 – $311.22 | 6 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $109.38 – $256.85 | 6 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $119.97 – $274.33 | 6 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $119.97 – $273.39 | 6 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $135.86 – $300.29 | 6 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $50.88 | $96.00 | $86.74 – $327.52 | 6 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $4,701.44 – $12,034.48 | 6 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $86.67 | $163.53 | $50.02 – $131.97 | 10 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $50.35 | $95.00 | $12.01 – $46.38 | 16 |
| Abd aorta w/runoff s&i CPT 75630 | $2,475.10 | $4,670.00 | $105.26 – $6,438.74 | 7 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,849.16 – $4,612.83 | 6 |
| Abd/low ext cath 1st CPT 36245 | $3,624.14 | $6,838.00 | $360.06 – $5,325.41 | 6 |
| Abd/low ext cath 2nd CPT 36246 | $3,960.69 | $7,473.00 | $379.71 – $3,396.15 | 6 |
| Abd/low ext cath 3rd CPT 36247 | $3,841.97 | $7,249.00 | $456.16 – $6,021.34 | 6 |
| Abd/low ext cath addl CPT 36248 | $3,544.64 | $6,688.00 | $75.68 – $547.88 | 6 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,797.76 | $3,392.00 | $109.28 – $401.74 | 10 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,476.58 | $2,786.00 | $99.60 – $401.74 | 10 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,175.01 | $2,217.00 | $93.18 – $245.18 | 10 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,148.62 | $4,054.00 | $171.96 – $828.27 | 10 |
| Abdominal MRI (with contrast) CPT 74182 | $2,186.78 | $4,126.00 | $135.41 – $828.27 | 10 |
| Abdominal MRI (without contrast) CPT 74181 | $1,972.66 | $3,722.00 | $114.56 – $517.79 | 10 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,336.24 | $4,408.00 | $169.56 – $2,007.94 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $758.43 | $1,431.00 | $63.26 – $245.18 | 10 |
| Abdominal Ultrasound (limited) CPT 76705 | $581.94 | $1,098.00 | $46.21 – $245.18 | 10 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,845.13 – $4,599.09 | 6 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,170.35 | $4,095.00 | $114.82 – $2,007.94 | 9 |
| Abl1 gene CPT 81170 | $567.63 | $1,071.00 | $300.00 – $938.90 | 16 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $1,648.00 – $1,648.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $13,326.32 | $25,144.00 | $467.35 – $18,652.00 | 6 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,054.25 – $5,197.41 | 6 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,900.66 – $7,414.52 | 6 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $986.12 – $2,490.96 | 6 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,770.00 – $7,057.13 | 6 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $542.35 – $25,690.92 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | $6,978.51 | $13,167.00 | $574.09 – $15,299.64 | 6 |
| Ablate heart dysrhythm focus CPT 93650 | $22,932.57 | $43,269.00 | $887.28 – $18,652.00 | 6 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $226.84 | $428.00 | $331.40 – $1,093.43 | 6 |
| Ablate inf turbinate superf 30801 CPT 30801 | $206.17 | $389.00 | $249.90 – $862.48 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | $5,562.35 | $10,495.00 | $693.19 – $21,868.25 | 6 |
| Ablate pulm tumor perq rf CPT 32998 | $5,200.89 | $9,813.00 | $693.91 – $13,976.57 | 6 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $152.31 – $335.08 | 3 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $912.70 – $2,007.94 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $233.52 – $513.74 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $713.54 – $27,384.31 | 6 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $425.59 – $936.30 | 3 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $233.52 – $513.74 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $287.36 – $632.19 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $10,328.68 – $10,328.68 | 1 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,552.47 – $4,015.46 | 6 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $38,168.83 – $38,168.83 | 1 |
| Abobotulinumtoxina HCPCS J0586 | $9.54 | $18.00 | $10.04 – $17.55 | 8 |
| Abortion CPT 59850 | not published | not published | $599.22 – $1,470.22 | 6 |
| Abortion (mpr) CPT 59866 | not published | not published | $296.12 – $901.63 | 9 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $27.03 – $172.57 | 6 |
| Abrasion lesion single CPT 15786 | $697.48 | $1,316.00 | $193.43 – $960.92 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,459.95 | $8,415.00 | $308.45 – $3,527.44 | 6 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $7,335.73 | $13,841.00 | $182.05 – $476.63 | 6 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $448.31 – $1,196.91 | 6 |
| Acetaminophen level CPT 80143 | $153.17 | $289.00 | $18.64 – $62.44 | 12 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $71.40 | $134.72 | $27.52 – $90.59 | 10 |
| Acetone qualitative CPT 82009 | $14.84 | $28.00 | $4.52 – $19.50 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $12.05 – $26.51 | 10 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $48.14 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $5.72 | $10.80 | $0.74 – $2.38 | 10 |
| Acetylcysteine non-comp unit HCPCS J7608 | $8.99 | $16.96 | $7.92 – $16.87 | 8 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $75.04 – $1,136.37 | 9 |
| Acne surgery 10040 CPT 10040 | not published | not published | $83.23 – $435.22 | 9 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $81.86 – $198.11 | 9 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $56.92 – $94.94 | 6 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $81.31 – $120.26 | 6 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $147.49 – $344.10 | 9 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $580.88 | $1,096.00 | $125.45 – $531.84 | 9 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $66.25 | $125.00 | $15.93 – $61.68 | 9 |
| Acoustic immitance testing CPT 92570 | not published | not published | $53.40 – $335.08 | 9 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $25.28 – $84.06 | 9 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $989.18 – $2,400.26 | 6 |
| Actigraphy testing CPT 95803 | $301.57 | $569.00 | $57.82 – $164.54 | 9 |
| Actinotherapy uv light CPT 96900 | $43.46 | $82.00 | $38.21 – $84.06 | 9 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $23.84 – $148.52 | 9 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $23.84 – $132.94 | 9 |
| Acute hepatitis panel CPT 80074 | $433.01 | $817.00 | $47.63 – $237.28 | 16 |
| Acute venous thrombus image CPT 78456 | not published | not published | $76.94 – $2,938.37 | 7 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.28 | $0.53 | $0.04 – $0.18 | 11 |
| #acylcarnitineprfl CPT 82017 | $222.60 | $420.00 | $16.87 – $65.76 | 16 |
| Acylcarnitines qual CPT 82016 | $118.72 | $224.00 | $16.49 – $60.74 | 16 |
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.