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 |
|---|---|---|---|---|
| Drug test def 15-21 classes HCPCS G0482 | $250.16 | $472.00 | $208.68 – $352.81 | 10 |
| Drug test def 22+ classes HCPCS G0483 | $325.95 | $615.00 | $259.27 – $438.30 | 10 |
| Drug test def 8-14 classes HCPCS G0481 | $184.97 | $349.00 | $164.42 – $277.95 | 10 |
| Drug test prsmv instrmnt CPT 80306 | $58.30 | $110.00 | $17.14 – $57.32 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $668.86 | $1,262.00 | $62.14 – $228.10 | 16 |
| Drvvt confirm - quest CPT 85597 | $60.95 | $115.00 | $17.98 – $77.95 | 16 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $409.00 – $1,171.08 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $385.31 | $727.00 | $234.65 – $1,621.26 | 6 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $324.36 – $1,128.98 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $273.68 – $969.77 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $319.11 – $1,310.98 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $431.14 – $1,419.71 | 9 |
| Ductogram sgl duct CPT 77053 | $298.39 | $563.00 | $28.22 – $517.79 | 10 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,734.08 – $6,896.08 | 6 |
| Duodenal motility study CPT 91022 | not published | not published | $118.71 – $1,136.37 | 9 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,529.05 | $2,885.00 | $59.21 – $517.68 | 9 |
| Duplex scan unilateral study 93986 CPT 93986 | $1,018.13 | $1,921.00 | $37.18 – $227.74 | 9 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $714.44 | $1,348.00 | $36.28 – $227.74 | 9 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,876.20 | $3,540.00 | $38.10 – $335.08 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,561.38 | $2,946.00 | $60.67 – $517.68 | 9 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $127.78 | $241.09 | $90.74 – $167.74 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $48.76 | $92.00 | $24.04 – $245.18 | 10 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $152.31 – $335.08 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $78.70 – $78.70 | 4 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,904.51 | $7,367.00 | $209.68 – $1,170.96 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,903.98 | $7,366.00 | $212.40 – $1,109.02 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,904.51 | $7,367.00 | $207.37 – $1,072.50 | 6 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $75.16 – $854.61 | 9 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $81.19 – $2,007.94 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $122.18 – $2,007.94 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $58.92 – $722.42 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $95.00 – $685.40 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $248.12 – $831.62 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $248.88 – $613.20 | 6 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $182.78 – $564.65 | 9 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $27.52 – $63.79 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $34.75 – $666.91 | 9 |
| Ear and throat examination CPT 92502 | not published | not published | $154.48 – $1,090.63 | 9 |
| Ear canal biopsy 69105 CPT 69105 | $176.49 | $333.00 | $102.03 – $557.89 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $917.88 – $2,874.26 | 6 |
| Ear irrigation 69209 CPT 69209 | $27.03 | $51.00 | $24.80 – $127.20 | 9 |
| Ear protector evaluation CPT 92596 | $68.37 | $129.00 | $38.21 – $232.32 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $349.80 | $660.00 | $10.03 – $127.20 | 9 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $70.49 | $133.00 | $11.02 – $25.53 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $206.17 | $389.00 | $9.49 – $127.20 | 9 |
| Ecg < 30 days transmission & analysis CPT 93271 | $487.60 | $920.00 | $89.36 – $590.96 | 9 |
| Ecg external < 48 hours recording CPT 93225 | $1,277.30 | $2,410.00 | $29.73 – $276.06 | 9 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $120.31 | $227.00 | $57.82 – $128.43 | 9 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $1,302.21 | $2,457.00 | $19.33 – $84.06 | 9 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $1,302.21 | $2,457.00 | $19.33 – $84.06 | 9 |
| Ecg record/review CPT 93268 | not published | not published | $291.74 – $714.91 | 6 |
| Ecg/review interpret only CPT 93272 | not published | not published | $39.63 – $93.09 | 6 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,501.71 | $6,607.00 | $112.74 – $1,174.27 | 9 |
| Echocardiography doppler color flow mapping CPT 93325 | $677.87 | $1,279.00 | $5.13 – $11.88 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $2,528.10 | $4,770.00 | $40.75 – $517.68 | 9 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $485.48 | $916.00 | $11.56 – $26.79 | 6 |
| Echo exam of eye CPT 76516 | not published | not published | $36.91 – $245.18 | 10 |
| Echo exam of eye CPT 76519 | not published | not published | $49.90 – $245.18 | 10 |
| Echo exam of eye CPT 76529 | not published | not published | $52.72 – $188.56 | 10 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.64 – $55.51 | 10 |
| Echo exam of fetal heart CPT 76825 | $416.58 | $786.00 | $131.41 – $1,174.27 | 10 |
| Echo exam of fetal heart CPT 76826 | $311.64 | $588.00 | $65.14 – $517.79 | 10 |
| Echo exam of fetal heart CPT 76827 | $363.05 | $685.00 | $45.81 – $245.18 | 10 |
| Echo exam of fetal heart CPT 76828 | $239.03 | $451.00 | $37.40 – $245.18 | 10 |
| Echo exam uterus 76831- CPT 76831 | $800.30 | $1,510.00 | $57.17 – $517.79 | 10 |
| Echograp trans r pros study CPT 76873 | $742.53 | $1,401.00 | $103.52 – $258.89 | 10 |
| Echo guidance radiotherapy CPT 76965 | $562.33 | $1,061.00 | $43.96 – $76.35 | 6 |
| Echo guide for amniocentesis CPT 76946 | $511.45 | $965.00 | $23.71 – $41.94 | 6 |
| Echo guide for artery repair CPT 76936 | $634.41 | $1,197.00 | $148.72 – $666.91 | 10 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $56.27 – $107.67 | 6 |
| Echo guide for transfusion CPT 76941 | $445.73 | $841.00 | $104.58 – $186.53 | 6 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $53.01 – $113.60 | 6 |
| Echo guide villus sampling CPT 76945 | not published | not published | $53.01 – $114.30 | 6 |
| Echo stress CPT 93350 | $436.19 | $823.00 | $112.74 – $1,174.27 | 9 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $41.31 – $1,174.27 | 9 |
| Echo tee guidance CPT 93355 | $2,675.44 | $5,048.00 | $361.62 – $838.75 | 6 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,674.91 | $5,047.00 | $174.44 – $1,174.27 | 9 |
| Echo transesophageal CPT 93313 | not published | not published | $18.07 – $1,174.27 | 9 |
| Echo transesophageal CPT 93314 | $478.59 | $903.00 | $142.66 – $335.97 | 6 |
| Echo transesophageal CPT 93315 | not published | not published | $206.58 – $1,174.27 | 9 |
| Echo transesophageal CPT 93317 | not published | not published | $142.83 – $334.07 | 6 |
| Echo transesophageal intraop CPT 93318 | $2,029.90 | $3,830.00 | $165.43 – $1,174.27 | 9 |
| Echo transthoracic CPT 93303 | $1,853.94 | $3,498.00 | $100.79 – $1,174.27 | 9 |
| Echo transthoracic CPT 93304 | not published | not published | $58.70 – $1,174.27 | 9 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $318.00 | $600.00 | $71.23 – $517.68 | 9 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $355.18 – $909.26 | 6 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $365.58 – $940.17 | 6 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $516.00 – $1,319.18 | 6 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $467.14 – $1,191.62 | 6 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,232.94 – $3,165.77 | 6 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,244.04 – $3,186.36 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $704.74 – $1,806.99 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $631.58 – $1,619.38 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $709.65 – $1,821.02 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $640.90 – $1,641.31 | 6 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $765.15 – $1,961.89 | 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.