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 |
|---|---|---|---|---|
| Br punct aspir ea add, l CPT 19001 | $1,028.73 | $1,941.00 | $33.13 – $108.08 | 6 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $2,151.86 – $5,332.75 | 6 |
| Budesonide non-comp unit HCPCS J7626 | $2.12 | $4.00 | $1.00 – $3.08 | 12 |
| Bundled special stain group 1 microorganisms CPT 88312 | $128.79 | $243.00 | $24.95 – $117.56 | 15 |
| Bundled special stain group 2 CPT 88313 | $142.57 | $269.00 | $15.74 – $276.06 | 15 |
| Bundle his recording CPT 93600 | $5,936.53 | $11,201.00 | $135.54 – $284.64 | 6 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $5.37 | $10.14 | $0.01 – $0.06 | 9 |
| Buprenorphine and metabolite - sendout CPT 80348 | $140.45 | $265.00 | $27.81 – $6,990.00 | 4 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $2,149.15 | $4,055.00 | $2,099.71 – $3,923.12 | 8 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $1,131.10 – $2,766.80 | 6 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $532.15 – $1,341.85 | 6 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,898.73 – $4,673.75 | 6 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,913.79 – $4,700.53 | 6 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $7.23 | $13.64 | $4.07 – $9.38 | 10 |
| Buttock fasciotomy CPT 27027 | not published | not published | $1,407.53 – $3,499.56 | 6 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,588.00 – $3,949.45 | 6 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $901.92 – $1,030.62 | 5 |
| Bx bone trocar/ndl deep CPT 20225 | $2,700.88 | $5,096.00 | $206.41 – $1,849.31 | 6 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,437.05 | $6,485.00 | $287.54 – $3,675.86 | 6 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,763.53 | $7,101.00 | $260.81 – $2,435.86 | 6 |
| Bx breast add lesion mr imag CPT 19086 | $1,718.26 | $3,242.00 | $144.04 – $2,923.83 | 6 |
| Bx breast add lesion strtctc CPT 19082 | $1,882.03 | $3,551.00 | $131.14 – $2,012.79 | 6 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,592.12 | $3,004.00 | $123.56 – $1,936.41 | 6 |
| Bx breast perq without image 19100 CPT 19100 | $159.00 | $300.00 | $104.86 – $599.58 | 6 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $209.88 – $651.46 | 9 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $3,145.03 – $7,796.77 | 6 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $658.80 – $2,055.25 | 6 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $396.98 – $1,308.11 | 6 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $2,356.56 – $5,831.64 | 6 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $355.10 | $670.00 | $665.80 – $2,295.96 | 6 |
| Bx liver with other CPT 47001 | not published | not published | $156.64 – $398.56 | 6 |
| Bx muscle CPT 20200 | not published | not published | $145.54 – $830.91 | 6 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $237.97 | $449.00 | $228.85 – $879.82 | 6 |
| Bx of breast open 19101 CPT 19101 | $233.73 | $441.00 | $302.90 – $1,306.59 | 6 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $310.58 | $586.00 | $251.26 – $1,213.44 | 6 |
| Bx pancreas pq ndl CPT 48102 | $1,054.70 | $1,990.00 | $375.39 – $2,159.92 | 6 |
| Bx perianal mass CPT 46999 | not published | not published | $887.53 – $1,952.57 | 3 |
| Bx pleura pq ndl CPT 32400 | $1,633.46 | $3,082.00 | $134.20 – $639.68 | 6 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $599.91 – $1,494.74 | 6 |
| Bx shoulder tissues deep 23066 CPT 23066 | $401.74 | $758.00 | $585.07 – $2,234.50 | 6 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $255.22 – $884.49 | 6 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $437.25 | $825.00 | $48.79 – $285.89 | 6 |
| Bx skin punch ea sep/ addl les CPT 11105 | $222.60 | $420.00 | $40.70 – $240.30 | 6 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $222.60 | $420.00 | $34.66 – $210.25 | 6 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $270.83 | $511.00 | $254.12 – $1,025.25 | 6 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $312.17 | $589.00 | $317.75 – $1,369.97 | 6 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,126.13 – $2,733.31 | 6 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $599.13 – $1,830.32 | 6 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $217.83 | $411.00 | $248.47 – $1,017.83 | 6 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $419.17 – $1,074.00 | 6 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $202.99 | $383.00 | $281.03 – $1,095.85 | 6 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,795.64 | $3,388.00 | $122.67 – $1,506.85 | 9 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $102.66 – $1,864.83 | 9 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $59.89 | $113.00 | $93.45 – $1,864.83 | 9 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $46.09 – $151.66 | 6 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $601.86 – $1,324.09 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $123.49 | $233.00 | $12.00 – $52.73 | 16 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $208.29 | $393.00 | $229.09 – $369.75 | 6 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $3,301.89 – $8,403.36 | 6 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $3,671.66 – $9,367.80 | 6 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $3,950.85 – $10,095.06 | 6 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,812.68 – $7,153.43 | 6 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,905.95 – $7,397.47 | 6 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $781.13 – $2,006.83 | 6 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $3,189.64 – $8,118.45 | 6 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $3,635.35 – $9,245.75 | 6 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $3,716.10 – $9,490.02 | 6 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $278.26 – $715.98 | 6 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $611.98 – $1,570.87 | 6 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $808.98 – $2,078.86 | 6 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $970.21 – $2,493.46 | 6 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $1,089.36 – $2,796.12 | 6 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $1,233.54 – $3,176.23 | 6 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $2,687.91 | 13 |
| Cadd pump refill CPT 96521 | $328.07 | $619.00 | $204.36 – $535.43 | 9 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $1.59 | $3.00 | $1.85 – $1.90 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,907.96 | $7,373.51 | $1,524.98 – $4,167.64 | 10 |
| Calcium 24 hour urine CPT 82340 | $57.24 | $108.00 | $6.03 – $26.36 | 16 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $6.84 | $12.91 | $0.05 – $0.18 | 10 |
| Calcium ionized CPT 82330 | $81.09 | $153.00 | $13.68 – $59.60 | 16 |
| Calcium total CPT 82310 | $41.87 | $79.00 | $5.16 – $22.91 | 16 |
| Calculi urinary-sendout CPT 82360 | $138.86 | $262.00 | $12.87 – $56.18 | 16 |
| Calculus analysis qual CPT 82355 | $46.11 | $87.00 | $11.58 – $50.42 | 16 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $10.59 – $335.08 | 9 |
| Calprotectin fecal CPT 83993 | $704.37 | $1,329.00 | $19.63 – $85.96 | 16 |
| Campylobacter antibody CPT 86625 | $42.93 | $81.00 | $13.12 – $50.70 | 16 |
| Candida dna CPT 87480 | $51.41 | $97.00 | $20.05 – $87.10 | 16 |
| Candida skin test CPT 86485 | $18.55 | $35.00 | $8.14 – $61.91 | 12 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $208.37 – $530.21 | 6 |
| Canthotomy 67715 CPT 67715 | not published | not published | $172.74 – $1,007.17 | 6 |
| Capsular contracture release CPT 23020 | not published | not published | $1,099.15 – $2,698.99 | 6 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $285.67 | $539.00 | $408.02 – $1,580.55 | 6 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $315.35 | $595.00 | $541.33 – $1,985.26 | 6 |
| Carbamazepine free CPT 80157 | $88.51 | $167.00 | $13.25 – $57.32 | 16 |
| Carbamazepine free -sendout CPT 80161 | $31.80 | $60.00 | $18.64 – $62.44 | 12 |
| Carbamazepine total therapeutic drug level CPT 80156 | $121.37 | $229.00 | $14.57 – $63.05 | 16 |
| Carbohydrate deficient transf - sendout CPT 82373 | $692.71 | $1,307.00 | $18.06 – $79.09 | 16 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $24.09 | 16 |
| Carbon dioxide CPT 82374 | $41.34 | $78.00 | $4.88 – $21.78 | 16 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $123.49 | $233.00 | $2.86 – $10.98 | 11 |
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.