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 |
|---|---|---|---|---|
| Drainage of arm bursa 23931 CPT 23931 | $324.89 | $613.00 | $258.45 – $1,148.29 | 6 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $653.68 – $1,633.85 | 6 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,597.07 – $3,860.23 | 6 |
| Drainage of bone lesion CPT 27303 | not published | not published | $1,012.79 – $2,506.62 | 6 |
| Drainage of eye CPT 65800 | not published | not published | $142.85 – $477.36 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $747.68 – $1,848.24 | 6 |
| Drainage of eye CPT 65815 | not published | not published | $767.89 – $2,562.91 | 6 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $594.08 – $1,378.50 | 6 |
| Drainage of kidney lesion CPT 50390 | $1,909.06 | $3,602.00 | $150.28 – $1,506.85 | 9 |
| Drainage of mouth lesion CPT 41005 | $253.34 | $478.00 | $194.02 – $870.31 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $374.24 – $1,376.74 | 6 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $357.78 – $1,351.36 | 6 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $415.07 – $1,536.89 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $460.85 – $1,651.11 | 9 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $485.26 – $1,640.80 | 9 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $560.75 – $1,815.81 | 6 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $558.55 – $1,812.53 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $649.06 – $2,038.48 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | $255.46 | $482.00 | $195.96 – $998.97 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $249.10 | $470.00 | $197.61 – $1,090.63 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $839.02 – $2,794.07 | 6 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,087.64 – $2,560.37 | 6 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $705.53 – $1,765.21 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $720.63 – $1,809.17 | 6 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $949.84 – $2,375.95 | 6 |
| Drainage of rectal abscess CPT 45005 | $260.23 | $491.00 | $261.32 – $1,151.16 | 6 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $906.42 – $2,231.34 | 6 |
| Drainage of salivary gland CPT 42305 | not published | not published | $683.16 – $1,688.91 | 6 |
| Drainage of salivary gland CPT 42320 | $181.79 | $343.00 | $289.61 – $1,090.63 | 9 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $2,104.51 – $5,151.32 | 6 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,565.55 – $6,342.82 | 6 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,275.97 – $3,175.90 | 6 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $626.77 – $1,568.50 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $263.60 – $735.79 | 6 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $649.77 – $1,679.44 | 9 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,032.43 – $2,596.61 | 6 |
| Drain bladder by trocar/cath CPT 51101 | $170.66 | $322.00 | $80.09 – $2,178.90 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $29.15 | $55.00 | $51.59 – $276.06 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $325.58 – $2,893.74 | 6 |
| Drain cath image guided visceral pq CPT 49405 | $4,459.95 | $8,415.00 | $308.45 – $3,527.89 | 6 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $934.39 | $1,763.00 | $136.56 – $1,483.13 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $787.29 – $1,950.82 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $269.77 | $509.00 | $193.43 – $1,197.36 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $517.16 – $1,889.69 | 6 |
| Drain lower leg lesion 27603 CPT 27603 | $355.10 | $670.00 | $623.68 – $2,102.11 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | $286.73 | $541.00 | $534.72 – $1,843.52 | 6 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,730.52 – $4,351.08 | 6 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $686.19 – $1,655.25 | 6 |
| Drain ovary abscess open CPT 58820 | not published | not published | $545.38 – $1,296.58 | 6 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,689.41 – $4,237.72 | 6 |
| Drain penis lesion CPT 54015 | not published | not published | $484.18 – $1,222.83 | 6 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,085.26 – $2,660.00 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $353.65 – $1,599.33 | 6 |
| Drain shoulder lesion CPT 23030 | $391.67 | $739.00 | $403.38 – $1,714.58 | 6 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,357.67 – $2,651.51 | 5 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $254.91 – $690.24 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,182.91 – $2,958.36 | 6 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $623.81 | $1,177.00 | $174.62 – $603.60 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $583.00 | $1,100.00 | $87.94 – $425.55 | 9 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $692.18 | $1,306.00 | $205.33 – $855.65 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $159.00 | $300.00 | $71.23 – $1,310.98 | 9 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,370.20 – $3,339.16 | 6 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $453.90 – $1,145.66 | 6 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $140.01 – $383.68 | 6 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $140.01 – $387.86 | 6 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,206.71 – $3,015.84 | 6 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $894.97 – $2,176.77 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | $324.36 | $612.00 | $187.71 – $1,112.49 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | $451.03 | $851.00 | $297.91 – $1,729.91 | 6 |
| Drng of hydrocele 55000 CPT 55000 | $77.91 | $147.00 | $133.79 – $1,506.85 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | $224.19 | $423.00 | $320.40 – $1,201.96 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $506.29 – $1,365.75 | 6 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $789.48 – $1,925.57 | 6 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $675.60 – $1,652.10 | 6 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $677.62 – $1,676.90 | 6 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $374.99 – $1,445.21 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $266.78 – $888.92 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,690.57 – $4,262.24 | 6 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,550.01 – $3,873.27 | 6 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,139.03 – $2,806.41 | 6 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,451.81 – $6,159.18 | 6 |
| Drng salivary gland simple 42300 CPT 42300 | $308.99 | $583.00 | $252.84 – $845.54 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $220.24 – $1,090.63 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $3.36 | $6.34 | $0.90 – $5.38 | 10 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $20.08 | $37.88 | $12.58 – $27.85 | 8 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $822.03 | $1,551.00 | $14.79 – $39.62 | 10 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $9.01 | $17.00 | $14.63 – $15.93 | 5 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $18.02 | $34.00 | $16.78 – $27.15 | 5 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $367.29 | $693.00 | $10.02 – $69.24 | 8 |
| Drug admin & hemodynmic meas CPT 93463 | $364.64 | $688.00 | $156.60 – $360.08 | 6 |
| Drug assay caffeine CPT 80155 | $114.48 | $216.00 | $28.21 – $120.71 | 16 |
| Drug assay posaconazole CPT 80187 | $47.70 | $90.00 | $27.11 – $85.89 | 13 |
| Drug assay rufinamide CPT 80210 | $46.64 | $88.00 | $27.11 – $90.82 | 12 |
| Drug assay vedolizumab CPT 80280 | $69.43 | $131.00 | $38.57 – $122.21 | 13 |
| Drug assay voriconazole CPT 80285 | $265.00 | $500.00 | $27.11 – $85.89 | 13 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $58.93 | 12 |
| Drug of abuse screen urine CPT 80305 | $73.14 | $138.00 | $12.60 – $42.41 | 16 |
| Drug screening tapentadol CPT 80372 | $19.61 | $37.00 | $27.17 – $79.09 | 8 |
| Drug screen quant tiagabine CPT 80199 | $60.95 | $115.00 | $27.11 – $84.84 | 16 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $31.67 – $79.09 | 8 |
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.