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 |
|---|---|---|---|---|
| Whole body photography CPT 96904 | not published | not published | $114.56 – $242.91 | 6 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,351.35 – $6,990.00 | 13 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $6,990.00 | 16 |
| Wilate injection HCPCS J7183 | $2.91 | $5.50 | $1.37 – $3.97 | 10 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $138.28 – $473.88 | 6 |
| Wound closure by adhesive HCPCS G0168 | $129.32 | $244.00 | $22.78 – $150.13 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $467.46 | $882.00 | $152.43 – $855.65 | 9 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $467.46 | $882.00 | $166.85 – $855.65 | 9 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $170.66 | $322.00 | $41.17 – $425.55 | 9 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $333.37 | $629.00 | $44.59 – $855.65 | 9 |
| Wrist arthroscopy CPT 29840 | not published | not published | $727.12 – $1,772.31 | 6 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $777.87 – $1,897.28 | 6 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $802.26 – $1,963.57 | 6 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $937.70 – $2,289.56 | 6 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $838.20 – $2,051.68 | 6 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $867.39 – $2,124.54 | 6 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $821.98 – $2,003.38 | 6 |
| Wrist X-ray CPT 73110 | $162.18 | $306.00 | $13.80 – $188.56 | 10 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,416.34 – $3,295.70 | 6 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,199.30 – $2,983.78 | 6 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $1,099.88 – $2,779.88 | 6 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,159.14 – $2,697.23 | 6 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $1,375.27 – $3,480.70 | 6 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $999.12 – $2,998.66 | 6 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $905.59 – $2,748.56 | 6 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $6,990.00 | 13 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $6,990.00 | 13 |
| Xm archive tissue molec anal CPT 88363 | $141.51 | $267.00 | $16.15 – $75.58 | 15 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $12,712.58 | $23,986.00 | $553.32 – $1,419.58 | 6 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $3,120.64 | $5,888.00 | $303.81 – $1,195.03 | 6 |
| X-ray abdomen 1 view CPT 74018 | $184.97 | $349.00 | $14.38 – $188.56 | 10 |
| X-ray abdomen 2 views CPT 74019 | $208.29 | $393.00 | $18.36 – $245.18 | 10 |
| X-ray abdomen >=3 views CPT 74021 | $239.56 | $452.00 | $21.22 – $245.18 | 10 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $298.92 | $564.00 | $25.36 – $245.18 | 10 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $201.40 | $380.00 | $14.93 – $188.56 | 10 |
| X-ray ankle 2 views (both sides) CPT 73600 | $348.21 | $657.00 | $13.23 – $188.56 | 10 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $558.62 | $1,054.00 | $43.88 – $828.27 | 10 |
| X-ray assay calculus CPT 82370 | $54.59 | $103.00 | $12.52 – $55.01 | 16 |
| X-ray bone age studies CPT 77072 | $117.13 | $221.00 | $14.96 – $245.18 | 10 |
| X-ray bone length studies CPT 77073 | $268.18 | $506.00 | $21.35 – $245.18 | 10 |
| X-ray bone survey complete CPT 77075 | $491.84 | $928.00 | $43.35 – $245.18 | 10 |
| X-ray bone survey infant CPT 77076 | $200.34 | $378.00 | $55.28 – $245.18 | 10 |
| X-ray cervical spine 2-3 views CPT 72040 | $187.62 | $354.00 | $17.78 – $188.56 | 10 |
| X-ray cervical spine 4-5 views CPT 72050 | $249.63 | $471.00 | $21.76 – $245.18 | 10 |
| X-ray cervical spine >= 6 views CPT 72052 | $405.45 | $765.00 | $23.66 – $245.18 | 10 |
| X-ray clavicle complete (both sides) CPT 73000 | $164.83 | $311.00 | $13.23 – $188.56 | 10 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $334.96 | $632.00 | $81.43 – $401.74 | 10 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $849.59 | $1,603.00 | $98.48 – $401.74 | 10 |
| X-ray consultation CPT 76140 | not published | not published | $9,528.00 – $18,312.00 | 5 |
| X-ray elbow 2 views (both sides) CPT 73070 | $237.44 | $448.00 | $13.23 – $188.56 | 10 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $163.77 | $309.00 | $13.80 – $188.56 | 10 |
| Xray endovasc thor ao repr CPT 75956 | $1,461.21 | $2,757.00 | $0.03 – $9,528.00 | 7 |
| Xray endovasc thor ao repr CPT 75957 | $1,461.21 | $2,757.00 | $0.03 – $9,528.00 | 7 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $256.52 | $484.00 | $47.33 – $401.74 | 10 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $180.20 | $340.00 | $28.56 – $245.18 | 10 |
| X-ray exam entire spi 6/> vw CPT 72084 | $202.99 | $383.00 | $33.29 – $245.18 | 10 |
| X-ray exam of arm infant CPT 73092 | $227.90 | $430.00 | $12.68 – $245.18 | 10 |
| X-ray exam of eye sockets CPT 70200 | $228.96 | $432.00 | $22.34 – $245.18 | 10 |
| X-ray exam of femur 1 CPT 73551 | $131.44 | $248.00 | $13.23 – $188.56 | 10 |
| X-ray exam of jaw joint CPT 70328 | $192.39 | $363.00 | $14.38 – $188.56 | 10 |
| X-ray exam of jaw joint CPT 70332 | $470.64 | $888.00 | $42.77 – $517.79 | 10 |
| X-ray exam of mastoids CPT 70120 | $288.32 | $544.00 | $14.38 – $245.18 | 10 |
| X-ray exam of middle ear CPT 70134 | $420.82 | $794.00 | $28.53 – $1,174.27 | 10 |
| X-ray exam of penis CPT 74445 | not published | not published | $77.32 – $245.18 | 10 |
| X-ray exam of perineum CPT 74775 | not published | not published | $49.03 – $517.79 | 10 |
| X-ray exam of salivary gland CPT 70380 | $302.63 | $571.00 | $13.26 – $188.56 | 10 |
| X-ray exam of sinuses CPT 70210 | $232.14 | $438.00 | $13.80 – $188.56 | 10 |
| X-ray exam of tear duct CPT 70170 | $257.58 | $486.00 | $23.66 – $517.79 | 10 |
| X-ray exam of teeth CPT 70300 | not published | not published | $8.13 – $188.56 | 10 |
| X-ray exam of teeth CPT 70310 | not published | not published | $12.68 – $517.79 | 10 |
| X-ray exam si joints CPT 72200 | $328.07 | $619.00 | $13.26 – $245.18 | 10 |
| X-ray exam thorac spine4/>vw CPT 72074 | $312.70 | $590.00 | $19.52 – $245.18 | 10 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $242.74 | $458.00 | $14.38 – $188.56 | 10 |
| X-ray facial bones complete > 3 views CPT 70150 | $281.96 | $532.00 | $20.64 – $245.18 | 10 |
| X-ray fallopian tube CPT 74742 | not published | not published | $47.91 – $97.72 | 6 |
| X-ray femur >=2 views (both sides) CPT 73552 | $245.92 | $464.00 | $14.38 – $188.56 | 10 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $196.63 | $371.00 | $10.95 – $188.56 | 10 |
| X-ray foot 2 views (both sides) CPT 73620 | $173.84 | $328.00 | $12.14 – $188.56 | 10 |
| X-ray forearm 2 views (both sides) CPT 73090 | $157.94 | $298.00 | $12.68 – $188.56 | 10 |
| X-ray hand 2 views (both sides) CPT 73120 | $246.98 | $466.00 | $13.23 – $245.18 | 10 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $12.77 – $188.56 | 10 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $180.73 | $341.00 | $12.68 – $188.56 | 10 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $344.50 | $650.00 | $21.76 – $245.18 | 10 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $351.39 | $663.00 | $17.78 – $245.18 | 10 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $374.71 | $707.00 | $23.46 – $245.18 | 10 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $449.97 | $849.00 | $24.79 – $245.18 | 10 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $269.24 | $508.00 | $14.93 – $188.56 | 10 |
| X-ray humerus >= 2 views left CPT 73060 | $253.34 | $478.00 | $13.23 – $188.56 | 10 |
| X-ray joint survey 1 view CPT 77077 | $112.89 | $213.00 | $27.03 – $245.18 | 10 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $153.17 | $289.00 | $13.23 – $188.56 | 10 |
| X-ray knee 3 views (both sides) CPT 73562 | $169.60 | $320.00 | $14.93 – $188.56 | 10 |
| X-ray knee ap standing bilateral CPT 73565 | $192.39 | $363.00 | $13.77 – $188.56 | 10 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $345.56 | $652.00 | $12.68 – $188.56 | 10 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $368.88 | $696.00 | $17.78 – $245.18 | 10 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $293.09 | $553.00 | $20.64 – $245.18 | 10 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $478.59 | $903.00 | $24.21 – $245.18 | 10 |
| X-ray male genital tract CPT 74440 | not published | not published | $29.19 – $517.79 | 10 |
| X-ray mandible complete > 4 views CPT 70110 | $267.65 | $505.00 | $19.52 – $245.18 | 10 |
| X-ray mandible ltd <4 views CPT 70100 | $154.23 | $291.00 | $14.38 – $188.56 | 10 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $26.52 – $57.08 | 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.