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 |
|---|---|---|---|---|
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,402.11 – $3,272.05 | 6 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $2,037.16 – $4,497.42 | 6 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $7,178.85 | $13,545.00 | $981.10 – $2,535.24 | 6 |
| Demonstrate use home inr mon HCPCS G0248 | $340.79 | $643.00 | $157.79 – $206.16 | 6 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $134.62 | $254.00 | $27.54 – $435.60 | 9 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,850.62 – $4,688.92 | 6 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $79.20 – $355.29 | 7 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $39.78 | $75.05 | $26.53 – $73.78 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $125.48 – $1,165.92 | 9 |
| Depo-estradiol cypionate inj HCPCS J1000 | $27.56 | $52.00 | $34.15 – $50.25 | 5 |
| Dermabrasion other than face CPT 15782 | not published | not published | $597.58 – $2,260.22 | 6 |
| Dermabrasion segmental face 15781 CPT 15781 | $524.70 | $990.00 | $684.93 – $2,165.01 | 9 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $388.93 – $1,847.87 | 9 |
| Dermabrasion total face CPT 15780 | $904.71 | $1,707.00 | $1,070.86 – $3,531.21 | 6 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,076.02 – $2,622.98 | 6 |
| Dermagraft HCPCS Q4106 | $1,432.59 | $2,703.00 | $18.69 – $137.07 | 8 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,211.08 – $3,447.65 | 6 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $948.94 – $2,831.26 | 6 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $30,814.20 | $58,140.00 | $2,661.08 – $6,841.14 | 6 |
| Description not available HCPCS S0013 | $93.36 | $176.15 | $18.46 – $40.87 | 6 |
| Design custom breast implant CPT 19396 | not published | not published | $224.37 – $1,131.64 | 6 |
| Design mlc device for imrt CPT 77338 | $860.72 | $1,624.00 | $356.36 – $783.99 | 9 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $26.36 | $49.74 | $7.05 – $22.17 | 11 |
| Desoxycorticosterone CPT 82633 | $66.78 | $126.00 | $30.98 – $135.24 | 16 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $1,285.78 | $2,426.00 | $578.99 – $1,493.96 | 6 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $30,814.20 | $58,140.00 | $2,281.64 – $5,870.54 | 6 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,571.56 | $4,852.00 | $1,658.78 – $4,262.03 | 6 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $139.21 – $552.27 | 9 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $190.23 – $709.05 | 9 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $193.43 – $813.52 | 9 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $107.06 | $202.00 | $153.15 – $590.85 | 9 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $114.48 | $216.00 | $169.51 – $652.52 | 9 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $126.14 | $238.00 | $193.43 – $744.07 | 9 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $114.04 – $425.55 | 9 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $139.77 – $578.92 | 9 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $177.60 – $701.88 | 9 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $193.43 – $762.48 | 9 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $515.16 | $972.00 | $307.79 – $1,671.28 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $326.48 | $616.00 | $107.22 – $748.66 | 6 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $245.04 – $851.12 | 6 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $54.06 | $102.00 | $88.76 – $425.55 | 9 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $340.82 – $996.75 | 6 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $215.95 – $648.25 | 6 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $100.70 | $190.00 | $133.21 – $521.36 | 9 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $576.86 – $1,768.04 | 9 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $388.93 – $1,355.62 | 9 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $841.06 – $2,523.96 | 6 |
| Destruction 2-14 lesions 17003 CPT 17003 | $21.20 | $40.00 | $3.40 – $24.19 | 6 |
| Destruction anal lesion(s) CPT 46910 | $270.30 | $510.00 | $214.52 – $1,024.30 | 6 |
| Destruction anal lesion(s) CPT 46924 | $856.48 | $1,616.00 | $287.32 – $2,141.92 | 6 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $228.43 | $431.00 | $220.35 – $940.01 | 9 |
| Destruction benign lesions < 14 lesions CPT 17110 | $90.63 | $171.00 | $108.90 – $443.01 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $302.06 – $1,906.70 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $298.92 | $564.00 | $94.54 – $682.40 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $507.21 | $957.00 | $308.33 – $1,654.43 | 6 |
| Destruction ciliary body CPT 66700 | not published | not published | $630.26 – $1,801.42 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $662.15 – $1,841.47 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $630.26 – $1,750.86 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $227.90 | $430.00 | $193.43 – $980.68 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $835.28 | $1,576.00 | $205.58 – $1,668.82 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $241.11 – $628.49 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $137.80 | $260.00 | $220.18 – $855.65 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $148.40 | $280.00 | $269.70 – $974.53 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $146.28 | $276.00 | $209.66 – $855.65 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $156.88 | $296.00 | $246.74 – $930.99 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $172.07 – $855.65 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $200.34 | $378.00 | $276.69 – $874.94 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $86.92 | $164.00 | $159.17 – $855.65 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,113.38 – $2,771.35 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $298.38 – $875.60 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $186.13 – $559.04 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $153.90 – $501.47 | 6 |
| Detect agent nos dna dir CPT 87797 | $65.72 | $124.00 | $30.03 – $93.98 | 16 |
| Detect agnt mult dna direc CPT 87800 | $1,213.70 | $2,290.00 | $43.67 – $175.37 | 16 |
| Determination venous press CPT 93770 | not published | not published | $2.31 – $29.42 | 6 |
| Determine refractive state CPT 92015 | not published | not published | $31.55 – $72.30 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $18.55 | $35.00 | $17.15 – $34.63 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | $168.54 | $318.00 | $152.31 – $499.50 | 9 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $59.77 – $217.27 | 6 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,163.30 – $5,441.11 | 6 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $71.55 | $135.00 | $91.99 – $223.37 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $313.23 | $591.00 | $16.08 – $188.56 | 10 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.66 | $1.24 | $0.05 – $0.31 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $2.33 | $4.40 | $0.14 – $0.37 | 11 |
| Dexamethasone panel CPT 80420 | $173.31 | $327.00 | $148.20 – $506.63 | 16 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $229.49 | $433.00 | $113.74 – $347.40 | 11 |
| Dextran 40 infusion HCPCS J7100 | $61.80 | $116.60 | $39.04 – $110.38 | 7 |
| Dextrose 5 % IV bolus HCPCS J7070 | $4.24 | $8.00 | $3.65 – $7.35 | 9 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $156.88 | $296.00 | $22.23 – $97.42 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $84.27 | $159.00 | $9.71 – $42.41 | 16 |
| Diab manage trn ind/group HCPCS G0109 | $39.22 | $74.00 | $21.20 – $56.61 | 6 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $270.52 – $708.07 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $510.08 – $1,272.64 | 6 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $147.59 – $854.61 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $196.74 – $798.07 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $115.01 | $217.00 | $65.23 – $408.65 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $79.64 – $263.00 | 7 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $64.41 – $205.70 | 7 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $77.38 | $146.00 | $79.27 – $415.78 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $86.39 | $163.00 | $108.68 – $486.01 | 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.