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 |
|---|---|---|---|---|
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $148.87 – $513.74 | 9 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $233.52 – $1,285.56 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $709.99 – $1,906.30 | 6 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $233.52 – $1,033.00 | 9 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $233.52 – $1,179.98 | 9 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $233.52 – $1,202.41 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $233.52 – $1,202.90 | 9 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $233.52 – $2,052.79 | 9 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $233.52 – $1,281.66 | 9 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $233.52 – $1,145.99 | 9 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $872.38 | $1,646.00 | $233.52 – $1,537.87 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $725.05 – $1,900.15 | 6 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $578.85 – $1,493.84 | 6 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $233.52 – $1,293.80 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $821.63 – $2,166.24 | 6 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $233.52 – $1,362.27 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $795.07 – $1,903.30 | 6 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,521.09 – $4,006.44 | 6 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,052.74 – $3,024.16 | 6 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $906.47 – $2,511.25 | 6 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $889.44 – $2,698.42 | 6 |
| Cltx post ankle fx CPT 27767 | not published | not published | $233.52 – $1,132.46 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $724.64 – $1,735.94 | 6 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $617.34 – $1,591.29 | 6 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $233.52 – $1,532.21 | 9 |
| Cltx thigh fx CPT 27267 | not published | not published | $709.26 – $1,712.94 | 6 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,302.32 – $3,535.18 | 6 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,240.03 – $3,064.09 | 6 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $127.99 – $1,136.37 | 9 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $128.18 – $2,178.90 | 9 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,191.44 | $2,248.00 | $191.62 – $2,178.90 | 9 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $24.80 – $127.20 | 9 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $24.82 – $127.20 | 9 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $25.97 | $49.00 | $12.34 – $44.03 | 16 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $35.54 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | $127.73 | $241.00 | $19.56 – $84.82 | 16 |
| Cmv pcr-sendout CPT 87496 | $279.31 | $527.00 | $35.09 – $152.46 | 16 |
| Co2 monitor per day CPT 94681 | not published | not published | $15.54 – $666.91 | 9 |
| Coagulation time activated teg CPT 85347 | $34.45 | $65.00 | $4.28 – $18.32 | 16 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $14.40 | 16 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $152.31 – $607.50 | 9 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $152.31 – $566.62 | 9 |
| Cold agglutinin screen (arc) CPT 86156 | $51.94 | $98.00 | $8.07 – $26.53 | 16 |
| Cold agglutinin titer CPT 86157 | $61.48 | $116.00 | $8.06 – $31.14 | 16 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,538.71 – $6,426.71 | 6 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,861.90 – $7,230.84 | 6 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $3,201.34 – $8,074.17 | 6 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $2,060.74 – $5,183.55 | 6 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,960.35 – $7,495.78 | 6 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,544.15 – $6,415.07 | 6 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $3,237.91 – $8,198.28 | 6 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,910.70 – $4,802.90 | 6 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,786.28 – $7,047.41 | 6 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,709.12 – $6,830.60 | 6 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $67.31 | $127.00 | $26.50 – $38.32 | 4 |
| Collar cerv patriot adlt HCPCS L0150 | $273.48 | $516.00 | $107.24 – $155.12 | 4 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $136.74 | $258.00 | $43.42 – $276.06 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $136.74 | $258.00 | $47.24 – $276.06 | 9 |
| Collection of venous blood by venipuncture CPT 36415 | $24.38 | $46.00 | $3.00 – $27.14 | 17 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $219.37 – $666.91 | 9 |
| Colonoscopy (diagnostic) CPT 45378 | $2,031.49 | $3,833.00 | $290.63 – $1,952.57 | 9 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $448.91 | $847.00 | $395.76 – $1,007.99 | 6 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,306.56 | $4,352.00 | $356.24 – $1,878.66 | 6 |
| Colonoscopy for bleeding 44391 CPT 44391 | $720.80 | $1,360.00 | $363.68 – $2,696.03 | 6 |
| Colonoscopy for foreign body CPT 44390 | $619.57 | $1,169.00 | $332.32 – $1,952.57 | 9 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $585.12 | $1,104.00 | $310.90 – $1,466.14 | 6 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $480.20 – $1,219.18 | 6 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $678.93 | $1,281.00 | $354.13 – $1,683.58 | 6 |
| Colonoscopy submucous njx CPT 45381 | $684.23 | $1,291.00 | $316.30 – $1,679.48 | 6 |
| Colonoscopy thru stoma spx CPT 44388 | $487.07 | $919.00 | $244.56 – $1,952.57 | 9 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $425.70 – $11,622.07 | 6 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,099.75 | $2,075.00 | $333.51 – $2,432.37 | 6 |
| Colonoscopy w/band ligation CPT 45398 | $2,691.34 | $5,078.00 | $367.91 – $3,115.39 | 6 |
| Colonoscopy w/control bleed CPT 45382 | $1,302.74 | $2,458.00 | $408.66 – $2,799.07 | 6 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $365.75 – $1,952.57 | 9 |
| Colonoscopy w/dilation CPT 44405 | $1,045.16 | $1,972.00 | $289.63 – $2,226.01 | 6 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $407.32 – $1,032.87 | 6 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $480.20 – $1,218.73 | 6 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $457.01 – $1,159.19 | 6 |
| Colonoscopy w/fb removal CPT 45379 | $619.57 | $1,169.00 | $376.01 – $1,691.09 | 6 |
| Colonoscopy w/injection CPT 44404 | $1,188.26 | $2,242.00 | $270.61 – $1,585.51 | 6 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $382.93 – $11,454.19 | 6 |
| Colonoscopy (with biopsy) CPT 45380 | $2,205.33 | $4,161.00 | $316.47 – $1,692.15 | 6 |
| Colonoscopy with biopsy CPT 44389 | $587.24 | $1,108.00 | $270.05 – $1,593.01 | 6 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,205.33 | $4,161.00 | $400.74 – $1,765.38 | 6 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $434.69 – $1,104.62 | 6 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $524.43 – $1,333.77 | 6 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $413.15 – $1,049.72 | 6 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $362.36 – $919.71 | 6 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,852.12 – $4,650.63 | 6 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,509.31 – $3,802.46 | 6 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $124.86 – $433.25 | 6 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $849.68 – $2,068.29 | 6 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,536.00 – $3,813.33 | 6 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $1,107.35 – $2,082.27 | 6 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $1,113.99 – $2,766.39 | 6 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $532.54 – $1,257.92 | 6 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $190.71 – $1,864.83 | 9 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $548.55 | $1,035.00 | $288.18 – $1,358.95 | 6 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $143.48 – $473.51 | 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.