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 |
|---|---|---|---|---|
| Clearance of tear duct CPT 68530 | not published | not published | $291.00 – $1,726.31 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $71.79 – $356.46 | 9 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $34.87 – $283.53 | 9 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $52.50 – $353.54 | 9 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $34.87 – $296.22 | 9 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $30.43 | $57.42 | $3.14 – $5.80 | 9 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,852.56 – $4,583.84 | 6 |
| Cllr miami j sm HCPCS L0174 | $219.42 | $414.00 | $278.99 – $403.53 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $26.50 | $50.00 | $23.88 – $36.74 | 9 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $4,221.13 – $10,680.46 | 6 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $233.52 – $1,502.49 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $642.06 – $1,689.49 | 6 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,141.28 – $2,908.17 | 6 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $233.52 – $1,865.31 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $692.87 – $1,834.05 | 6 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $233.52 – $1,296.75 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $733.57 – $1,956.89 | 6 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $99.64 | $188.00 | $177.21 – $618.65 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,031.61 – $3,093.61 | 6 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $271.17 – $1,090.63 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $527.68 – $2,044.75 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $932.65 – $2,277.67 | 6 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $486.37 – $1,623.07 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $165.55 – $513.74 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $233.52 – $946.16 | 9 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,215.62 – $3,413.74 | 6 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $226.06 – $1,104.62 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,081.63 – $2,638.51 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,035.23 – $2,609.20 | 6 |
| Close tear duct opening CPT 68760 | not published | not published | $234.79 – $853.74 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $190.49 – $640.20 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $1,009.24 – $2,498.91 | 6 |
| Clostridium toxin a w/optic CPT 87803 | $40.81 | $77.00 | $16.00 – $52.73 | 16 |
| Clos txnose fx without stablz 21315 CPT 21315 | $271.89 | $513.00 | $95.05 – $1,083.10 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,340.33 – $3,362.62 | 6 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,444.75 – $6,183.99 | 6 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,568.67 – $3,947.03 | 6 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,144.18 – $5,412.08 | 6 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $326.25 – $1,409.01 | 9 |
| Closure of eyelid by suture CPT 67875 | $157.41 | $297.00 | $152.73 – $2,074.27 | 9 |
| Closure of salivary fistula CPT 42600 | $1,936.62 | $3,654.00 | $575.45 – $2,022.90 | 6 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $533.53 – $1,717.82 | 6 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $601.86 – $1,324.09 | 3 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $82.54 | 16 |
| Clot factor viii reltd antgn CPT 85244 | $71.02 | $134.00 | $20.42 – $89.41 | 16 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $82.54 | 16 |
| Clot factor xii hageman CPT 85280 | $144.16 | $272.00 | $19.35 – $84.82 | 16 |
| Clot factor xiii fibrin scrn CPT 85291 | $66.78 | $126.00 | $9.11 – $38.96 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $65.72 | $124.00 | $16.34 – $71.05 | 16 |
| Clotting assay whole blood CPT 85396 | $44.52 | $84.00 | $25.50 – $68.71 | 12 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $233.52 – $1,253.53 | 9 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $233.52 – $1,314.75 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $233.52 – $1,348.53 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $392.17 – $929.47 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $233.52 – $911.76 | 9 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $543.42 – $1,399.13 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $471.70 | $890.00 | $233.52 – $864.24 | 9 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $233.52 – $727.22 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $393.79 | $743.00 | $233.52 – $729.06 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $233.52 – $1,668.82 | 9 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $233.52 – $1,248.53 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $84.27 | $159.00 | $130.73 – $513.74 | 9 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,193.88 – $2,959.67 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $893.89 – $2,026.92 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $233.52 – $1,095.64 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $205.10 – $565.51 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $223.66 | $422.00 | $233.52 – $650.83 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $233.52 – $1,308.15 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $827.59 – $2,119.86 | 6 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $233.52 – $1,119.46 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $754.58 – $2,024.58 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $233.52 – $1,056.45 | 8 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $233.52 – $1,580.35 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $233.52 – $1,493.51 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $233.52 – $1,409.87 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $258.54 – $1,517.53 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $495.74 – $2,306.82 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $233.52 – $907.13 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $233.52 – $1,168.66 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $233.52 – $1,281.05 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $823.39 – $1,902.85 | 6 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $233.52 – $1,023.28 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $233.52 – $866.54 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $269.24 | $508.00 | $151.03 – $1,004.38 | 6 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $42.84 – $42.84 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $695.36 | $1,312.00 | $532.73 – $1,432.42 | 6 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $233.52 – $1,464.93 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $233.52 – $1,268.95 | 9 |
| Clsd tx pelvic ring fx CPT 27197 | $240.09 | $453.00 | $213.42 – $513.74 | 9 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $233.52 – $1,203.88 | 9 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $655.77 – $1,697.48 | 6 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $233.52 – $778.39 | 9 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $233.52 – $1,031.19 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $658.04 – $1,732.82 | 6 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $500.85 | $945.00 | $233.52 – $914.55 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $648.86 – $1,683.05 | 6 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $807.23 – $2,164.96 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $660.26 – $1,586.00 | 6 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $551.57 – $1,458.25 | 6 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $137.80 | $260.00 | $48.26 – $513.74 | 9 |
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.