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 |
|---|---|---|---|---|
| Carboxyhemoglobin quantitative CPT 82375 | $81.09 | $153.00 | $12.32 – $53.87 | 16 |
| Carcinoembryonic ag (cea) CPT 82378 | $157.94 | $298.00 | $18.96 – $82.54 | 16 |
| Cardiac drug stress test CPT 93024 | not published | not published | $89.39 – $854.61 | 9 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $226.47 – $1,174.27 | 10 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $104.74 – $2,938.37 | 7 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $76.40 – $2,938.37 | 7 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,147.25 | $7,825.00 | $105.94 – $2,938.37 | 7 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $330.72 | $624.00 | $21.96 – $269.65 | 9 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $305.28 | $576.00 | $14.38 – $269.65 | 9 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $59.35 – $860.57 | 10 |
| Cardiac Stress Test CPT 93015 | $438.84 | $828.00 | $115.62 – $255.19 | 6 |
| Cardioassist internal CPT 92970 | not published | not published | $281.62 – $653.46 | 6 |
| Cardiolipin antibody iga CPT 86147 | $61.48 | $116.00 | $13.78 – $98.33 | 16 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $4,022.17 | $7,589.00 | $174.11 – $1,401.47 | 9 |
| Cardioversion/elective/internal 92961 CPT 92961 | $2,291.19 | $4,323.00 | $371.01 – $1,401.47 | 9 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $19.52 – $41.00 | 6 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $50.62 – $205.79 | 7 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $25.00 – $102.93 | 7 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $104.82 | $197.78 | $51.82 – $143.62 | 10 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $2,562.95 | 16 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $2,562.95 | 16 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,219.75 | $6,075.00 | $282.86 – $1,253.43 | 11 |
| Carotene CPT 82380 | $68.90 | $130.00 | $9.22 – $40.13 | 16 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,390.19 | $2,623.00 | $61.57 – $517.68 | 9 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $0.04 – $238.85 | 6 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $701.18 – $1,709.33 | 6 |
| Car seat/bed test 60 minutes CPT 94780 | $67.31 | $127.00 | $38.21 – $181.97 | 9 |
| Car seat/bed test additional 30 minutes CPT 94781 | $28.09 | $53.00 | $33.51 – $73.82 | 6 |
| Car-t admn autologous CPT 38228 | not published | not published | $322.89 – $1,220.12 | 4 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $403.32 – $403.32 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $163.75 – $163.75 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $165.23 – $165.23 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $173.31 | $327.00 | $88.69 – $246.03 | 2 |
| Cataract Surgery CPT 66984 | not published | not published | $876.11 – $2,238.32 | 6 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,194.35 – $3,201.69 | 6 |
| Catecholamines,fractionated, urine CPT 82382 | $53.53 | $101.00 | $27.30 – $85.44 | 16 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $15,142.63 | $28,571.00 | $478.99 – $1,111.55 | 6 |
| Cath council tip 16fr 5cc HCPCS A4344 | $15.37 | $29.00 | $18.60 – $26.90 | 4 |
| Catheter declot mechanical CPT 36596 | $4,031.18 | $7,606.00 | $69.65 – $484.58 | 6 |
| Catheter insert artery CPT 36625 | not published | not published | $369.96 – $415.90 | 5 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $40.81 | $77.00 | $3.75 – $14.57 | 13 |
| Catheter stripping venous CPT 36595 | $1,878.32 | $3,544.00 | $2,062.31 – $2,504.90 | 5 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $1.59 | $3.00 | $2.34 – $2.34 | 4 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $236.76 – $588.43 | 4 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $106.53 | $201.00 | $86.14 – $332.18 | 6 |
| Cath left heart/lv gram CPT 93452 | $10,550.71 | $19,907.00 | $359.09 – $832.54 | 6 |
| Cath left heart transseptal punc CPT 93462 | $5,939.71 | $11,207.00 | $315.10 – $730.60 | 6 |
| Cath lt/rt pulm art CPT 36014 | $3,379.81 | $6,377.00 | $233.38 – $3,315.55 | 6 |
| Cath place 1st order venous 36011 CPT 36011 | $4,653.93 | $8,781.00 | $239.92 – $3,443.34 | 6 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $241.13 – $559.92 | 6 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $27,152.43 | $51,231.00 | $626.21 – $1,453.55 | 6 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $19,903.09 | $37,553.00 | $471.61 – $1,093.61 | 6 |
| Cath plc art/grft/angio right hrt CPT 93457 | $32,606.13 | $61,521.00 | $529.74 – $1,231.43 | 6 |
| Cath right heart w/o2 sat & card CPT 93451 | $10,409.73 | $19,641.00 | $199.87 – $461.54 | 6 |
| Cath right hrt mnpul art CPT 36013 | $1,644.59 | $3,103.00 | $194.56 – $3,191.85 | 6 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $1,290.02 | $2,434.00 | $90.98 – $772.03 | 6 |
| Cath segmntl pulm art CPT 36015 | $1,799.35 | $3,395.00 | $266.90 – $3,600.99 | 6 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $472.23 | $891.00 | $12.33 – $19.96 | 5 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $36.62 – $79.19 | 6 |
| Cauterization chemical granulation tissue CPT 17250 | $288.85 | $545.00 | $59.26 – $425.55 | 9 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $178.36 – $594.54 | 6 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $77.95 | 16 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $694.49 | 12 |
| Cdna analysis for variants CPT 81403 | $1,319.70 | $2,490.00 | $185.20 – $589.16 | 16 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $488.66 | $922.00 | $22.61 – $276.06 | 9 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $33.03 – $276.06 | 9 |
| Cebpa gene full sequence CPT 81218 | $283.02 | $534.00 | $241.90 – $934.64 | 16 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $82.52 | $155.70 | $0.84 – $2.65 | 11 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $5.93 | $11.18 | $1.48 – $3.84 | 11 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $29.15 | $55.00 | $5.60 – $15.49 | 10 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $6.80 | $12.83 | $4.35 – $11.86 | 10 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $3.99 | $7.52 | $0.57 – $1.49 | 11 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $4.43 | $8.36 | $2.40 – $6.83 | 10 |
| #celiac hla-dq2 CPT 81377 | $273.48 | $516.00 | $94.74 – $400.02 | 16 |
| #celiac hla-dq8 CPT 81383 | $851.71 | $1,607.00 | $109.13 – $475.67 | 16 |
| Cell count body fluid CPT 89050 | $15.37 | $29.00 | $4.72 – $20.64 | 16 |
| Cell count w differential body fluid CPT 89051 | $58.30 | $110.00 | $5.60 – $24.09 | 16 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $40.90 | 16 |
| Cell enumeration & id CPT 86152 | $318.00 | $600.00 | $18.58 – $1,070.56 | 16 |
| Cell function assay w/stim CPT 86352 | $162.18 | $306.00 | $135.86 – $592.58 | 16 |
| Cell marker study CPT 88182 | $125.61 | $237.00 | $51.17 – $135.31 | 15 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $48.19 | $90.92 | $31.32 – $83.75 | 10 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,494.10 – $3,683.07 | 6 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $360.86 – $912.95 | 6 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $576.11 – $1,330.86 | 6 |
| Cerebrospinal fld flw imag CPT 78645 | $1,075.90 | $2,030.00 | $43.04 – $1,152.80 | 10 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $22.41 | $42.28 | $5.82 – $15.46 | 12 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $2,122.98 – $5,249.48 | 6 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,360.12 – $3,187.19 | 6 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $118.97 | $224.47 | $80.91 – $219.84 | 9 |
| #cf-97variants CPT 81220 | $2,010.82 | $3,794.00 | $556.60 – $1,772.06 | 16 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $6,990.00 | 16 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $6,990.00 | 16 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $6,990.00 | 16 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,268.29 | $2,393.00 | $126.45 – $1,429.49 | 9 |
| Change cystostomy tube simple CPT 51705 | $442.55 | $835.00 | $81.75 – $520.87 | 9 |
| Change gastric port open CPT 43888 | not published | not published | $725.20 – $1,793.01 | 6 |
| Change g-tube to g-j perc CPT 49446 | $2,149.68 | $4,056.00 | $231.69 – $3,594.22 | 6 |
| Change nephroureteral cath CPT 50387 | $3,706.82 | $6,994.00 | $131.43 – $2,192.68 | 6 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $123.84 – $313.40 | 6 |
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.