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 |
|---|---|---|---|---|
| Electrophysiology evaluation CPT 93621 | $11,469.20 | $21,640.00 | $124.84 – $411.66 | 6 |
| Electrophysiology evaluation CPT 93622 | $9,631.16 | $18,172.00 | $182.62 – $603.62 | 6 |
| Electrophysiology evaluation CPT 93641 | $5,351.41 | $10,097.00 | $472.79 – $1,037.37 | 6 |
| Electrophysiology evaluation CPT 93642 | $7,182.56 | $13,552.00 | $133.71 – $482.56 | 6 |
| Electrophysiology evaluation CPT 93644 | $5,194.53 | $9,801.00 | $82.28 – $334.42 | 6 |
| Electrophys map 3d add-on CPT 93613 | $10,709.71 | $20,207.00 | $352.80 – $18,652.00 | 6 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | $63.07 | $119.00 | $19.20 – $57.24 | 13 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $10.98 | $20.72 | $8.12 – $15.46 | 8 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $653.66 – $881.20 | 6 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $141.01 – $141.01 | 1 |
| Embolization s&i CPT 75894 | $2,073.36 | $3,912.00 | $109.17 – $217.18 | 6 |
| Embo or occlude vascular arterial s&i CPT 37242 | $21,741.13 | $41,021.00 | $731.99 – $30,388.26 | 6 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $20,144.24 | $38,008.00 | $1,041.08 – $28,180.12 | 6 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $27,517.60 | $51,920.00 | $882.45 – $38,408.47 | 6 |
| Embo or occlude vascular venous s&i CPT 37241 | $12,588.56 | $23,752.00 | $661.84 – $19,627.32 | 6 |
| Embryo hatching CPT 89253 | not published | not published | $82.47 – $367.00 | 9 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $244.14 – $1,864.83 | 9 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,516.08 – $3,904.80 | 6 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,408.59 – $3,618.91 | 6 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $62.95 – $199.71 | 6 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $99.42 – $430.83 | 9 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $85.33 | $161.00 | $125.48 – $302.85 | 9 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $102.82 | $194.00 | $152.31 – $367.19 | 9 |
| Emg cranial nerve bilateral CPT 95868 | $82.68 | $156.00 | $101.00 – $666.91 | 9 |
| Emg needle test 1-extremity CPT 95860 | $71.02 | $134.00 | $82.30 – $276.06 | 9 |
| Emg needle test 4-extremities CPT 95864 | $154.23 | $291.00 | $152.31 – $391.24 | 9 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $77.91 | $147.00 | $32.08 – $666.91 | 9 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $13.19 – $50.95 | 16 |
| Encephalitis, st louis igg/igm CPT 86653 | $24.38 | $46.00 | $13.19 – $50.95 | 16 |
| Encephalitis, western equine igg/igm CPT 86654 | $24.38 | $46.00 | $13.19 – $50.95 | 16 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $5,206.19 | $9,823.00 | $420.82 – $4,232.79 | 6 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $5,236.93 | $9,881.00 | $419.53 – $5,407.33 | 6 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $6,990.00 | 16 |
| Endo cath bile duct s&i CPT 74328 | $545.37 | $1,029.00 | $37.84 – $117.69 | 6 |
| Endo cath panc duct s&i CPT 74329 | $563.39 | $1,063.00 | $38.39 – $118.82 | 6 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $159.07 – $651.46 | 9 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $176.53 – $1,864.83 | 9 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $533.68 – $1,357.55 | 6 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $563.14 – $1,433.24 | 6 |
| Endoluminal bx biliary tree CPT 47543 | $5,631.78 | $10,626.00 | $226.41 – $4,648.88 | 6 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $217.74 – $2,497.35 | 6 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,711.06 | $7,002.00 | $143.77 – $332.67 | 6 |
| Endoluminl ivus oct c ea CPT 92979 | $1,855.53 | $3,501.00 | $115.02 – $267.25 | 6 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $1,986.97 | $3,749.00 | $369.67 – $3,978.60 | 6 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $560.83 – $7,262.17 | 6 |
| Endoscopic injection/implant CPT 51715 | $313.76 | $592.00 | $313.85 – $1,356.94 | 6 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $187.20 – $480.97 | 6 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $309.49 – $783.84 | 6 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $24.05 – $62.32 | 6 |
| Endoscopy bowel pouch/biop CPT 44386 | $567.10 | $1,070.00 | $141.29 – $1,952.57 | 9 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $940.75 – $2,683.94 | 6 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $421.11 – $1,128.50 | 6 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $1,117.77 | $2,109.00 | $115.07 – $1,952.57 | 9 |
| Endoscopy of ureter CPT 50951 | not published | not published | $480.78 – $1,505.85 | 6 |
| Endoscopy of ureter CPT 50953 | not published | not published | $512.38 – $1,595.52 | 6 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $60.23 – $137.49 | 6 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $185.87 – $720.46 | 9 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $376.83 | $711.00 | $265.96 – $983.84 | 6 |
| Endovasc prosth delayed 33886 CPT 33886 | $2,571.56 | $4,852.00 | $1,431.86 – $3,650.97 | 6 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $51,413.71 | $97,007.00 | $2,265.95 – $5,847.13 | 6 |
| Endovasc tempory vessel occl CPT 61623 | $8,684.05 | $16,385.00 | $860.44 – $2,160.17 | 6 |
| Endovasc visc aorta 1 graft CPT 34841 | $16,328.24 | $30,808.00 | $2,489.53 – $5,792.97 | 6 |
| Endovasc visc aorta 2 graft CPT 34842 | $16,328.24 | $30,808.00 | $3,134.49 – $7,293.74 | 6 |
| Endovasc visc aorta 3 graft CPT 34843 | $16,328.24 | $30,808.00 | $3,779.42 – $8,794.42 | 6 |
| Endovasc visc aorta 4 graft CPT 34844 | $16,328.24 | $30,808.00 | $4,424.37 – $10,295.18 | 6 |
| Endovas iliac a device addon CPT 34808 | $8,164.12 | $15,404.00 | $298.32 – $755.10 | 6 |
| Endovenous laser vein addon 36479 CPT 36479 | $2,603.36 | $4,912.00 | $204.58 – $1,274.85 | 6 |
| Endovenous mchnchem 1st vein CPT 36473 | $6,996.53 | $13,201.00 | $273.58 – $5,639.59 | 6 |
| Endovenous mchnchem add-on CPT 36474 | $3,498.00 | $6,600.00 | $136.51 – $1,136.40 | 6 |
| Endovenous rf abl vein addl CPT 36476 | $2,618.20 | $4,940.00 | $201.65 – $1,207.00 | 6 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $270.49 – $7,551.22 | 6 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $133.23 – $603.77 | 6 |
| Enlarge breast CPT 19324 | not published | not published | $871.95 – $871.95 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $4.40 | $8.31 | $0.74 – $2.07 | 11 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $52.73 | 16 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $52.73 | 16 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $365.79 – $932.63 | 6 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $365.26 – $929.31 | 6 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,871.62 – $4,716.85 | 6 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $3,758.87 – $9,484.65 | 6 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $4,335.71 – $10,958.19 | 6 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,020.88 – $5,078.30 | 6 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,149.79 – $5,437.83 | 6 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $2,480.69 – $6,258.16 | 6 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,294.19 – $3,249.09 | 6 |
| Enterovirus antibody dfa CPT 87267 | $235.85 | $445.00 | $13.42 – $52.73 | 16 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $134.91 – $304.44 | 6 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $37.15 – $137.80 | 16 |
| Enzyme histochemistry CPT 88319 | $484.95 | $915.00 | $35.43 – $1,749.53 | 15 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $181.79 | $343.00 | $130.19 – $188.31 | 4 |
| Ep & ablate supravent arrhyt CPT 93653 | $37,686.71 | $71,107.00 | $1,272.98 – $18,652.00 | 6 |
| Ep & ablate ventric tachy CPT 93654 | $26,652.64 | $50,288.00 | $1,534.10 – $18,652.00 | 6 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,094.68 – $3,152.24 | 6 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $213.62 – $653.46 | 6 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,122.75 – $3,149.83 | 6 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $156.13 – $441.65 | 6 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $769.56 | $1,452.00 | $82.40 – $414.84 | 6 |
| Epidural lysis mult sessions CPT 62263 | $718.15 | $1,355.00 | $512.18 – $2,451.51 | 9 |
| Epidural lysis on single day 62264 CPT 62264 | $413.93 | $781.00 | $391.75 – $1,906.70 | 9 |
| Epidurography CPT 72275 | not published | not published | $63.10 – $63.10 | 1 |
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.