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 |
|---|---|---|---|---|
| Cytopath c/v index add-on CPT 88155 | $45.58 | $86.00 | $12.34 – $45.85 | 16 |
| Cytopath c/v manual CPT 88150 | $34.98 | $66.00 | $18.19 – $45.86 | 16 |
| Cytopath c/v redo CPT 88153 | not published | not published | $21.74 – $75.21 | 16 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $88.27 | 16 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $21.46 – $73.15 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $195.57 | $369.00 | $37.26 – $114.42 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $185.50 | $350.00 | $26.61 – $115.78 | 16 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $33.92 | $64.00 | $20.26 – $88.27 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $193.45 | $365.00 | $24.95 – $84.06 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $101.76 | $192.00 | $24.95 – $98.83 | 15 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $133.56 | $252.00 | $9.01 – $24.09 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $161.12 | $304.00 | $24.80 – $367.00 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $266.06 | $502.00 | $52.01 – $133.84 | 15 |
| Cytopath smear other source CPT 88160 | $116.07 | $219.00 | $21.46 – $89.34 | 15 |
| Cytopath smear other source CPT 88162 | $179.14 | $338.00 | $51.15 – $134.97 | 15 |
| Cytopath smear oth prep screen & interp CPT 88161 | $106.53 | $201.00 | $23.84 – $85.89 | 15 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $18.19 – $45.86 | 16 |
| Cytopath tbs c/v manual CPT 88164 | $84.80 | $160.00 | $18.19 – $45.86 | 16 |
| Cytopath tbs c/v redo CPT 88165 | $79.50 | $150.00 | $21.74 – $132.13 | 16 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $18.19 – $45.86 | 16 |
| Cytotoxic antibody screening CPT 86807 | $128.26 | $242.00 | $78.65 – $246.15 | 16 |
| Cytotoxic antibody screening CPT 86808 | $96.46 | $182.00 | $29.68 – $129.51 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $592.54 | $1,118.00 | $65.83 – $827.81 | 15 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $12.94 | $24.42 | $4.87 – $12.35 | 11 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,197.80 | $2,260.00 | $366.77 – $2,040.15 | 11 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $29.22 | $55.14 | $17.15 – $46.63 | 10 |
| Dalteparin sodium HCPCS J1645 | $12.19 | $23.00 | $15.30 – $22.87 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.41 | $0.78 | $0.04 – $0.24 | 10 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $77.35 | $145.94 | $53.81 – $105.98 | 8 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $13.46 | $25.40 | $3.59 – $8.69 | 11 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $4.24 | $8.00 | $3.59 – $6.13 | 9 |
| Dark field exam spec collj CPT 87164 | $65.19 | $123.00 | $10.74 – $41.50 | 16 |
| Dark field exam without collj CPT 87166 | $36.57 | $69.00 | $11.30 – $49.28 | 16 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $193.43 – $963.26 | 9 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $289.85 – $923.89 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $372.37 – $1,109.75 | 6 |
| Dch glucoscan CPT 82948 | $9.54 | $18.00 | $5.04 – $15.77 | 16 |
| Dch pulmonary stress test CPT 94621 | $202.99 | $383.00 | $110.08 – $666.91 | 9 |
| Dch validity tests CPT 81002 | $13.78 | $26.00 | $3.48 – $11.46 | 16 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $12,344.23 | $23,291.00 | $911.91 – $2,314.90 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,663.93 – $6,593.54 | 6 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $439.48 – $1,082.44 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $207.40 – $569.29 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | $7.42 | $14.00 | $12.05 – $36.82 | 12 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,070.76 – $2,733.02 | 6 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $45.58 | $86.00 | $44.05 – $1,310.98 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $129.85 | $245.00 | $39.19 – $78.74 | 6 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $353.02 – $1,229.75 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $84.66 – $287.82 | 6 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $149.43 – $476.79 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $704.90 | $1,330.00 | $95.39 – $855.65 | 9 |
| Debride nail1-5 11720 CPT 11720 | $333.90 | $630.00 | $22.98 – $130.22 | 9 |
| Debride nail6 or more 11721 CPT 11721 | $413.93 | $781.00 | $38.40 – $180.56 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $472.23 | $891.00 | $460.48 – $2,069.52 | 9 |
| Debride skin bone at fx site CPT 11012 | $584.59 | $1,103.00 | $647.68 – $2,650.69 | 6 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $875.79 – $2,240.04 | 6 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,172.46 – $2,997.22 | 6 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $39.75 | $75.00 | $39.56 – $162.52 | 6 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $173.31 | $327.00 | $81.74 – $425.55 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $402.27 | $759.00 | $435.37 – $1,868.94 | 9 |
| Debr inf skin add-on 11001 CPT 11001 | $13.78 | $26.00 | $23.48 – $93.56 | 6 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $242.13 – $1,310.98 | 9 |
| Decalcification CPT 88311 | $91.69 | $173.00 | $10.71 – $27.03 | 12 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $10.07 | $19.00 | $1.47 – $6.10 | 11 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $497.14 | $938.00 | $53.45 – $710.36 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $734.98 – $1,863.98 | 6 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,209.07 – $2,522.73 | 6 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,932.12 – $4,699.58 | 6 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $897.96 – $2,219.82 | 6 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,369.03 – $3,352.49 | 6 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,097.90 – $4,702.58 | 6 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,230.39 – $3,060.53 | 6 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,495.78 – $3,197.18 | 6 |
| Decompression of leg CPT 27892 | not published | not published | $844.27 – $2,145.53 | 6 |
| Decompression of leg CPT 27893 | not published | not published | $979.69 – $2,388.17 | 6 |
| Decompression of leg CPT 27894 | not published | not published | $1,274.78 – $3,271.31 | 6 |
| Decompression of lower leg CPT 27600 | not published | not published | $631.96 – $1,574.81 | 6 |
| Decompression of lower leg CPT 27601 | not published | not published | $700.79 – $1,745.74 | 6 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $878.92 – $2,133.80 | 6 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $925.21 – $2,271.24 | 6 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,047.54 – $2,560.20 | 6 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,117.41 – $2,737.45 | 6 |
| Decompression of tibia nerve CPT 28035 | $346.09 | $653.00 | $578.48 – $2,115.40 | 6 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $579.26 – $1,410.89 | 6 |
| Decompressive craniotomy CPT 61322 | not published | not published | $3,524.17 – $8,736.53 | 6 |
| Decompress optic nerve CPT 67570 | not published | not published | $2,074.44 – $4,912.95 | 6 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,439.16 – $6,058.08 | 6 |
| Decompress small bowel CPT 44021 | not published | not published | $1,493.94 – $3,764.95 | 6 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,260.12 – $5,610.32 | 6 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,673.13 – $6,650.73 | 6 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $297.60 – $750.67 | 6 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $475.66 – $1,201.71 | 6 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $235.25 – $1,151.44 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $11.20 | $21.13 | $4.74 – $12.78 | 10 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,208.55 – $3,649.82 | 6 |
| Delay flap arms/legs CPT 15610 | not published | not published | $392.11 – $1,423.11 | 6 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $553.11 – $1,815.52 | 6 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $524.25 – $1,745.66 | 6 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $339.57 – $1,312.49 | 6 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $135.73 – $344.85 | 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.