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 |
|---|---|---|---|---|
| Culture typing immunologic CPT 87147 | $43.46 | $82.00 | $5.18 – $22.91 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $694.42 | 12 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $124.02 | $234.00 | $35.09 – $152.46 | 16 |
| Culture urine each isolate CPT 87088 | $66.78 | $126.00 | $8.09 – $35.54 | 16 |
| Culture virus isolation CPT 87250 | $144.16 | $272.00 | $19.56 – $84.82 | 16 |
| Curette/treat cornea CPT 65435 | not published | not published | $111.18 – $2,074.27 | 9 |
| Curette/treat cornea CPT 65436 | not published | not published | $595.22 – $1,542.91 | 6 |
| Custom shape cover bk HCPCS L5704 | $1,600.60 | $3,020.00 | $627.77 – $908.02 | 4 |
| Cv line/pic reposition CPT 36597 | $948.70 | $1,790.00 | $450.62 – $530.21 | 5 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $22.93 – $54.43 | 6 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $34.87 – $81.22 | 6 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $100.17 | $189.00 | $14.32 – $61.91 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $15.10 | $28.49 | $1.33 – $4.39 | 11 |
| Cyclic citrullinated peptide antibody CPT 86200 | $88.51 | $167.00 | $12.95 – $56.18 | 16 |
| Cyclosporine 2 hour CPT 80158 | $151.05 | $285.00 | $18.05 – $79.09 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.99 | $3.76 | $0.81 – $2.56 | 11 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $931.87 | 16 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $559.35 | 16 |
| Cyp2d6 gene com variants CPT 81226 | $806.66 | $1,522.00 | $450.91 – $1,443.08 | 16 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $557.06 | 16 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $557.06 | 16 |
| Cystatin c CPT 82610 | $266.59 | $503.00 | $18.52 – $59.60 | 16 |
| Cystic fibrosis cftr CPT 81223 | $3,733.32 | $7,044.00 | $499.00 – $6,990.00 | 16 |
| Cystine urine quantitative CPT 82131 | $142.04 | $268.00 | $22.98 – $73.37 | 16 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $755.67 – $1,907.81 | 6 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $471.70 | $890.00 | $24.82 – $828.27 | 10 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $12,341.45 – $12,341.45 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | $486.54 | $918.00 | $168.22 – $1,429.49 | 9 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,416.85 – $3,569.30 | 6 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,176.89 – $2,948.60 | 6 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $11,261.14 – $11,261.14 | 4 |
| Cystoscopy and biopsy CPT 52007 | $788.64 | $1,488.00 | $260.58 – $1,887.39 | 6 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $375.70 – $954.56 | 6 |
| Cystoscopy and treatment CPT 52214 | $1,718.26 | $3,242.00 | $274.91 – $2,910.55 | 6 |
| Cystoscopy and treatment CPT 52224 | $1,706.07 | $3,219.00 | $318.26 – $3,039.70 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $386.10 – $979.86 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $452.66 – $1,150.42 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $614.16 – $1,564.97 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $330.62 – $838.74 | 6 |
| Cystoscopy and treatment CPT 52265 | $546.43 | $1,031.00 | $255.05 – $1,510.97 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $414.71 – $1,054.77 | 6 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $507.08 – $1,289.33 | 6 |
| Cystoscopy and treatment CPT 52283 | $176.49 | $333.00 | $316.42 – $1,294.66 | 6 |
| Cystoscopy and treatment CPT 52285 | $225.78 | $426.00 | $307.29 – $1,429.49 | 9 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $382.70 – $972.56 | 6 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $439.67 – $1,116.14 | 6 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $455.02 – $1,156.49 | 6 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $436.93 – $1,111.47 | 6 |
| Cystoscopy and treatment CPT 52310 | $231.61 | $437.00 | $237.71 – $1,151.40 | 6 |
| Cystoscopy and treatment CPT 52315 | $385.84 | $728.00 | $431.00 – $1,848.36 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $386.31 – $983.67 | 6 |
| Cystoscopy and treatment CPT 52330 | $1,075.37 | $2,029.00 | $413.19 – $2,313.26 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $392.04 – $1,429.49 | 9 |
| Cystoscopy chemodenervation CPT 52287 | $331.25 | $625.00 | $265.64 – $1,430.08 | 6 |
| Cystoscopy & duct catheter CPT 52010 | $513.04 | $968.00 | $259.85 – $1,581.29 | 9 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $527.25 – $1,342.63 | 6 |
| Cystoscopy inject material CPT 52327 | not published | not published | $406.67 – $1,047.35 | 6 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $450.47 – $1,653.12 | 6 |
| Cystoscopy & revise urethra CPT 52270 | $462.69 | $873.00 | $285.07 – $1,599.82 | 6 |
| Cystoscopy & revise urethra CPT 52275 | $625.93 | $1,181.00 | $389.59 – $2,098.63 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $502.13 – $1,278.01 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | $390.61 | $737.00 | $208.73 – $1,168.17 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $466.00 – $1,156.73 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $751.16 – $1,873.50 | 6 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,238.50 – $3,120.63 | 6 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $474.71 – $1,207.08 | 6 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $578.22 – $1,472.60 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $653.17 – $1,665.22 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $731.93 – $1,865.25 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $651.00 – $1,659.11 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $614.16 – $1,564.97 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $698.80 – $1,781.49 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $555.48 – $1,414.17 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $617.59 – $1,573.79 | 6 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $416.96 – $1,065.34 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $348.74 | $658.00 | $239.00 – $1,277.31 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $681.58 | $1,286.00 | $221.95 – $1,532.13 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $79.51 – $3,954.49 | 6 |
| Cystourethro w/implant CPT 52441 | not published | not published | $329.24 – $5,420.86 | 6 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $539.75 – $1,373.30 | 6 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $484.67 – $1,232.17 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $445.84 – $1,132.91 | 6 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $0.53 | $1.00 | $1.00 – $1.00 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,218.00 – $3,886.00 | 9 |
| Cytogenetics 25-99 CPT 88274 | $645.01 | $1,217.00 | $42.38 – $151.29 | 16 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $127.38 | 16 |
| Cytogenomic neo microra alys CPT 81277 | $2,074.95 | $3,915.00 | $1,218.00 – $3,660.14 | 10 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $6,990.00 | 16 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,743.67 – $1,743.67 | 1 |
| Cytomegalovirus ag ia CPT 87332 | $40.28 | $76.00 | $11.98 – $52.73 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $104.94 | $198.00 | $14.39 – $63.05 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $61.48 | $116.00 | $13.78 – $65.10 | 16 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $52.73 | 16 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $1,681.16 | $3,172.00 | $2,035.00 – $2,993.28 | 6 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $93.98 | 16 |
| Cyto/molecular report CPT 88291 | not published | not published | $42.32 – $105.02 | 12 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $92.83 | 16 |
| Cytopath c/v automated CPT 88147 | not published | not published | $23.41 – $158.24 | 16 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $21.74 – $86.50 | 16 |
| Cytopath c/v auto rescreen CPT 88148 | $159.00 | $300.00 | $18.19 – $58.71 | 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.