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 |
|---|---|---|---|---|
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $2,844.51 – $7,024.24 | 6 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $2,779.38 – $6,881.60 | 6 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,721.34 – $4,250.84 | 6 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,866.21 – $4,312.91 | 6 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $2,129.68 – $5,296.79 | 6 |
| Cross-over vein graft CPT 34520 | not published | not published | $1,466.88 – $3,748.55 | 6 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $6,467.06 | $12,202.00 | $2,805.46 – $2,947.04 | 5 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $42.93 | $81.00 | $0.49 – $19.36 | 6 |
| Cryoablate prostate CPT 55873 | $11,904.86 | $22,462.00 | $1,214.84 – $24,807.43 | 6 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $236.71 – $688.06 | 9 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $52.47 | $99.00 | $14.14 – $44.25 | 16 |
| Cryoprecipitate each unit HCPCS P9012 | $156.88 | $296.00 | $126.46 – $126.46 | 1 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $82.47 – $1,749.53 | 9 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $166.82 – $367.00 | 9 |
| Cryopreservation sperm CPT 89259 | not published | not published | $53.33 – $367.00 | 9 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $71.69 – $936.30 | 9 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $52.01 – $114.42 | 9 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $318.24 – $10,847.58 | 6 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $180.28 – $558.87 | 9 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $57.82 – $208.08 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | $42.40 | $80.00 | $13.78 – $55.68 | 16 |
| Cryptosporidium antigen CPT 87272 | $77.91 | $147.00 | $11.98 – $52.73 | 16 |
| Crystal identification light microscopy CPT 89060 | $50.88 | $96.00 | $7.33 – $30.95 | 16 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $4,030.28 – $8,036.76 | 6 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,963.45 – $4,381.36 | 6 |
| Csf leakage imaging CPT 78650 | not published | not published | $40.80 – $2,938.37 | 7 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $62.58 – $642.31 | 9 |
| Csf ventriculography CPT 78635 | not published | not published | $47.91 – $1,152.80 | 10 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $435.57 | 13 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $873.41 | 13 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $588.03 | 13 |
| CT 3d report other modality w/workstation CPT 76377 | $558.62 | $1,054.00 | $62.10 – $82.93 | 6 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,928.67 | $3,639.00 | $141.68 – $401.74 | 10 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,023.54 | $3,818.00 | $173.30 – $401.74 | 10 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,634.52 | $3,084.00 | $147.39 – $401.74 | 10 |
| Cta neck without &/or w/contrast CPT 70498 | $1,756.42 | $3,314.00 | $137.10 – $401.74 | 10 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,741.80 | $7,060.00 | $171.05 – $828.27 | 10 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,079.72 | $3,924.00 | $142.22 – $401.74 | 10 |
| CT Angiogram of the Head CPT 70496 | $1,348.32 | $2,544.00 | $137.10 – $401.74 | 10 |
| CT angio hrt w/3d image CPT 75574 | $1,878.85 | $3,545.00 | $186.76 – $764.85 | 10 |
| CT angio pelvis CPT 72191 | $1,895.28 | $3,576.00 | $140.01 – $401.74 | 10 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,474.99 | $2,783.00 | $140.01 – $401.74 | 10 |
| CT bone density axial CPT 77078 | not published | not published | $19.52 – $188.56 | 10 |
| CT colonography dx CPT 74261 | $1,001.17 | $1,889.00 | $103.52 – $399.59 | 10 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $173.30 – $416.17 | 10 |
| CT colonography screening CPT 74263 | $553.32 | $1,044.00 | $180.23 – $1,486.98 | 10 |
| CT guidance for needle placement CPT 77012 | $1,656.78 | $3,126.00 | $114.50 – $196.88 | 6 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,261.40 | $2,380.00 | $90.25 – $193.43 | 6 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $233.52 – $513.74 | 3 |
| CT guid parench tis ablat CPT 77013 | $816.20 | $1,540.00 | $297.86 – $648.12 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $25.97 | $49.00 | $45.63 – $188.56 | 10 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $198.32 – $764.85 | 10 |
| CT hrt w/3d image CPT 75572 | $2,523.86 | $4,762.00 | $136.19 – $764.85 | 10 |
| CT limited or localized follow-up study CPT 76380 | $493.43 | $931.00 | $74.51 – $188.56 | 10 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,243.38 | $2,346.00 | $90.90 – $401.74 | 10 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,195.15 | $2,255.00 | $78.03 – $245.18 | 10 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,547.60 | $2,920.00 | $94.89 – $401.74 | 10 |
| CT neck soft tissue w/contrast CPT 70491 | $1,470.75 | $2,775.00 | $108.68 – $401.74 | 10 |
| CT neck soft tissue without contrast CPT 70490 | $1,138.44 | $2,148.00 | $100.72 – $245.18 | 10 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,060.64 | $3,888.00 | $126.51 – $401.74 | 10 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,777.62 | $3,354.00 | $99.06 – $401.74 | 10 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,335.07 | $2,519.00 | $88.62 – $401.74 | 10 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,162.29 | $2,193.00 | $100.72 – $245.18 | 10 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $299.98 | $566.00 | $210.41 – $1,394.00 | 9 |
| CT scan for localization CPT 77011 | $989.51 | $1,867.00 | $100.71 – $207.30 | 6 |
| CT scan for therapy guide CPT 77014 | $1,699.18 | $3,206.00 | $73.76 – $144.85 | 6 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,848.22 | $5,374.00 | $157.01 – $828.27 | 10 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,898.46 | $3,582.00 | $142.78 – $828.27 | 10 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,981.67 | $3,739.00 | $136.53 – $517.79 | 10 |
| CT thoracic spine w/contrast CPT 72129 | $1,331.36 | $2,512.00 | $95.63 – $401.74 | 10 |
| CT thoracic spine without contrast CPT 72128 | $1,230.13 | $2,321.00 | $78.03 – $245.18 | 10 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $328.60 | $620.00 | $84.64 – $227.74 | 10 |
| CT t-spine w /wo contrast CPT 72130 | $1,816.31 | $3,427.00 | $99.60 – $401.74 | 10 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,129.43 | $2,131.00 | $90.90 – $828.27 | 10 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,102.40 | $2,080.00 | $78.03 – $245.18 | 10 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,212.11 | $2,287.00 | $95.45 – $401.74 | 10 |
| Cuffs adj lock with active con HCPCS L3740 | $770.09 | $1,453.00 | $979.66 – $1,417.00 | 4 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $82.47 – $3,356.13 | 12 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $82.47 – $3,490.26 | 12 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,154.86 – $3,147.65 | 6 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $987.53 – $2,709.90 | 6 |
| Culture aerobic additional method definitive id each CPT 87077 | $57.77 | $109.00 | $8.08 – $35.54 | 16 |
| Culture afb any source CPT 87116 | $115.01 | $217.00 | $10.80 – $47.00 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $74.73 | $141.00 | $8.08 – $35.54 | 16 |
| Culture anaerobic except blood CPT 87075 | $87.98 | $166.00 | $9.47 – $41.27 | 16 |
| Culture bacteria anaerobic CPT 87073 | $66.78 | $126.00 | $9.66 – $41.27 | 16 |
| Culture bact stool aero addl path ea CPT 87046 | $71.55 | $135.00 | $9.44 – $41.27 | 16 |
| Culture body fluid CPT 87070 | $91.69 | $173.00 | $8.62 – $37.82 | 16 |
| Culture fungi definitive id mold CPT 87107 | $58.83 | $111.00 | $10.32 – $44.69 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $59.89 | $113.00 | $10.32 – $44.69 | 16 |
| Culture fungi other (except blood) CPT 87102 | $77.91 | $147.00 | $8.41 – $36.68 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $71.55 | $135.00 | $7.71 – $33.23 | 16 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $115.54 | $218.00 | $14.61 – $48.14 | 16 |
| Culture mycoplasma any source CPT 87109 | $83.21 | $157.00 | $15.39 – $59.46 | 16 |
| Culture of specimen by kit CPT 87084 | $23.32 | $44.00 | $17.71 – $84.72 | 16 |
| Culture quantitative aerobic other source CPT 87071 | $66.78 | $126.00 | $9.89 – $41.27 | 16 |
| Culture screening strep group a CPT 87081 | $61.48 | $116.00 | $6.63 – $28.64 | 16 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.74 – $24.22 | 16 |
| Culture typing added method CPT 87158 | $49.29 | $93.00 | $7.74 – $24.22 | 16 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $55.01 | 16 |
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.