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 |
|---|---|---|---|---|
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $54.40 – $344.10 | 8 |
| Adding walker to prev cast CPT 29440 | not published | not published | $45.05 – $337.94 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $2.54 | $4.80 | $0.52 – $1.83 | 10 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $52.73 | 16 |
| Adenovirus antibody,serum - quest CPT 86603 | $74.73 | $141.00 | $12.87 – $49.73 | 16 |
| Adenovirus assay w/optic CPT 87809 | $168.01 | $317.00 | $21.76 – $68.10 | 16 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,427.12 – $3,518.42 | 6 |
| Adh-sendout CPT 84588 | $228.96 | $432.00 | $33.94 – $147.87 | 16 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $912.70 – $2,007.94 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $710.16 – $1,747.50 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,221.69 – $3,671.43 | 6 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1.06 | $2.00 | $0.29 – $0.95 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $268.71 | $507.00 | $45.78 – $152.42 | 9 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $268.71 | $507.00 | $69.28 – $248.99 | 9 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $573.46 | $1,082.00 | $211.68 – $710.36 | 9 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $288.85 | $545.00 | $163.22 – $710.36 | 9 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $168.01 | $317.00 | $55.10 – $152.42 | 9 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $232.67 | $439.00 | $69.28 – $288.36 | 9 |
| Administration immunization 1 vaccine CPT 90471 | $38.69 | $73.00 | $32.96 – $152.42 | 9 |
| Administration immunization each additional component CPT 90461 | $36.04 | $68.00 | $16.57 – $47.42 | 6 |
| Administration immunization each additional vaccine CPT 90472 | $36.04 | $68.00 | $23.60 – $47.42 | 6 |
| Administration immunization first component each vaccine CPT 90460 | $38.69 | $73.00 | $36.62 – $80.62 | 6 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $38.69 | $73.00 | $26.95 – $152.42 | 9 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $18.55 | $35.00 | $19.23 – $47.42 | 6 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $90.01 – $90.01 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $38.69 | $73.00 | $37.13 – $52.82 | 6 |
| Administration vaccine influenza virus HCPCS G0008 | $45.05 | $85.00 | $37.13 – $52.82 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $46.64 | $88.00 | $37.13 – $52.82 | 6 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $77.71 – $77.71 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $57.38 | $108.26 | $41.71 – $82.21 | 8 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $58.12 – $2,938.37 | 7 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,924.52 – $4,789.74 | 6 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $115.84 – $192.50 | 6 |
| Aep hearing status deter i&r CPT 92651 | $469.05 | $885.00 | $139.88 – $666.91 | 9 |
| Aep neurodiagnostic i&r CPT 92653 | $83.74 | $158.00 | $138.74 – $666.91 | 9 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $186.37 – $666.91 | 9 |
| _afb id by dna probe rflx ast CPT 87149 | $130.91 | $247.00 | $20.05 – $87.10 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.82 – $22.88 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $372.59 | $703.00 | $115.36 – $503.20 | 16 |
| After cataract laser surgery CPT 66821 | not published | not published | $503.64 – $1,321.64 | 9 |
| Air conduction bilat CPT 92552 | $49.29 | $93.00 | $57.65 – $276.06 | 9 |
| Air injection into abdomen 49400 CPT 49400 | $155.29 | $293.00 | $143.12 – $577.44 | 6 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $340.26 | $642.00 | $20.08 – $335.08 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $49.29 | $93.00 | $7.78 – $24.35 | 16 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $110.53 | $208.55 | $69.00 – $140.00 | 11 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $109.12 | $205.89 | $69.00 – $144.84 | 11 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $147.87 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $47.17 | $89.00 | $5.78 – $25.23 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $41.34 | $78.00 | $4.95 – $21.78 | 16 |
| Albuterol ipratrop non-comp HCPCS J7620 | $0.14 | $0.26 | $0.15 – $0.25 | 6 |
| Albuterol non-comp con HCPCS J7611 | $0.53 | $1.00 | $0.21 – $0.46 | 11 |
| Albuterol non-comp unit HCPCS J7613 | $0.04 | $0.08 | $0.04 – $0.08 | 5 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $57.85 | 12 |
| Alkaline phosphatase CPT 84075 | $53.53 | $101.00 | $5.18 – $22.91 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $51.41 | $97.00 | $17.93 – $71.07 | 16 |
| Allergen egg white ige CPT 86003 | $29.15 | $55.00 | $5.22 – $20.15 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $34.37 | 16 |
| Allergy injections; 2 or more 95117 CPT 95117 | $136.21 | $257.00 | $18.79 – $98.82 | 9 |
| Allergy injection; single 95115 CPT 95115 | $136.21 | $257.00 | $16.05 – $98.82 | 9 |
| Allergy Skin Testing CPT 95004 | $2,995.03 | $5,651.00 | $6.22 – $2,178.90 | 9 |
| Allg patch or app # of tests 95044 CPT 95044 | $14.31 | $27.00 | $7.84 – $2,178.90 | 9 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $2,014.02 – $4,985.44 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $318.00 | $600.00 | $176.48 – $462.38 | 10 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $257.58 | $486.00 | $278.01 – $405.52 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | $222.60 | $420.00 | $32.88 – $84.06 | 9 |
| All tstg perq&iq w/venoms CPT 95017 | $121.90 | $230.00 | $14.06 – $52.45 | 9 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $139.39 | $263.00 | $64.41 – $280.83 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | $133.56 | $252.00 | $17.00 – $73.37 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $109.71 | $207.00 | $16.77 – $73.37 | 16 |
| Alprostadil for injection HCPCS J0270 | $5.83 | $11.00 | $0.73 – $0.78 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $278.89 | $526.20 | $101.24 – $271.91 | 11 |
| Alt/sgpt CPT 84460 | $53.00 | $100.00 | $5.30 – $22.91 | 16 |
| Aluminum - quest CPT 82108 | $144.16 | $272.00 | $25.48 – $111.19 | 16 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $391.87 – $1,567.10 | 6 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $89.36 – $203.20 | 9 |
| Amantadine (symmetrel)-sendout CPT 80375 | $1,074.84 | $2,028.00 | $31.67 – $79.09 | 8 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $8.40 – $276.06 | 9 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $5.43 | $10.25 | $0.89 – $2.87 | 10 |
| Amino acid screen, urine CPT 82128 | $120.31 | $227.00 | $13.87 – $60.74 | 16 |
| Amino acid single qual CPT 82127 | $48.76 | $92.00 | $14.18 – $60.74 | 16 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $65.76 | 16 |
| Aminolevulinic acid delta CPT 82135 | $122.43 | $231.00 | $16.45 – $72.23 | 16 |
| Aminolevulinic acid hcl top HCPCS J7308 | $452.62 | $854.00 | $449.19 – $793.94 | 9 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $29.01 | $54.74 | $8.42 – $26.36 | 11 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $0.90 | $1.69 | $0.64 – $1.56 | 8 |
| Amitriptyline (elavil) -sendout CPT 80335 | $87.45 | $165.00 | $31.67 – $79.09 | 8 |
| Ammonia CPT 82140 | $102.82 | $194.00 | $14.57 – $63.05 | 16 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $650.31 | $1,227.00 | $121.18 – $1,864.83 | 9 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $266.81 – $673.96 | 9 |
| Amniotic fluid scan CPT 82143 | $130.38 | $246.00 | $9.35 – $29.82 | 16 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $1,115.23 – $2,595.71 | 6 |
| Amphetamine confirm urine -sendout CPT 80324 | $86.92 | $164.00 | $30.92 – $79.09 | 8 |
| Amphetamines 5 or more CPT 80326 | $13.25 | $25.00 | $15.69 – $30.92 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $89.62 | $169.10 | $28.20 – $85.00 | 10 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $3.28 | $6.18 | $0.84 – $3.08 | 11 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $13.98 | $26.37 | $2.62 – $5.76 | 11 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $578.58 | 4 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $7,142.81 | $13,477.00 | $672.25 – $1,686.90 | 6 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $1,103.52 – $2,753.93 | 6 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,037.73 – $2,462.05 | 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.