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 |
|---|---|---|---|---|
| Epiglottidectomy CPT 31420 | not published | not published | $1,344.50 – $3,240.03 | 6 |
| Epikeratoplasty CPT 65767 | not published | not published | $2,475.73 – $6,061.93 | 6 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,570.99 – $4,162.55 | 8 |
| Ep induct arrhy by elect pacing CPT 93618 | $6,324.49 | $11,933.00 | $273.27 – $573.83 | 6 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,164.01 – $2,844.01 | 6 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $987.27 – $2,409.53 | 6 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1.59 | $3.00 | $1.56 – $2.98 | 7 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $221.92 – $822.42 | 6 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $24.38 | $46.00 | $9.27 – $23.85 | 11 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $44.48 | $83.92 | $9.48 – $27.11 | 11 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $43.59 | $82.24 | $17.48 – $48.80 | 10 |
| Epstein barr early antigen antibody CPT 86663 | $85.33 | $161.00 | $13.12 – $57.32 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $100.17 | $189.00 | $15.29 – $66.50 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $118.72 | $224.00 | $18.14 – $79.09 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $36.63 | $69.11 | $5.53 – $54.05 | 7 |
| Ercp biliary & pancreas CPT 74330 | $631.23 | $1,191.00 | $45.02 – $150.38 | 6 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $728.99 – $1,856.52 | 6 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $596.77 – $1,517.74 | 6 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $681.78 – $1,737.58 | 6 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $682.36 – $1,738.56 | 6 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $573.73 – $1,459.97 | 6 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $592.82 – $1,509.01 | 6 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $563.70 – $1,433.24 | 6 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $759.20 – $1,933.19 | 6 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $508.38 – $1,293.96 | 6 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $135.15 | $255.00 | $145.62 – $237.50 | 7 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $101.75 | $191.99 | $13.55 – $40.63 | 11 |
| ER Visit (level 1, minor) CPT 99281 | $261.29 | $493.00 | $18.41 – $188.56 | 9 |
| ER Visit (level 2) CPT 99282 | $457.92 | $864.00 | $66.88 – $339.15 | 8 |
| ER Visit (level 3) CPT 99283 | $1,034.56 | $1,952.00 | $114.58 – $593.01 | 9 |
| ER Visit (level 4) CPT 99284 | $1,749.00 | $3,300.00 | $193.92 – $911.97 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $1,820.02 | $3,434.00 | $281.26 – $1,313.05 | 9 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $92.59 | $174.70 | $84.99 – $139.57 | 8 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $127.04 – $318.16 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $653.35 | $1,232.74 | $0.25 – $0.79 | 9 |
| Esophageal dilat s&i CPT 74360 | $349.27 | $659.00 | $43.33 – $93.43 | 6 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $171.02 – $442.60 | 6 |
| Esophageal motility CPT 78258 | not published | not published | $55.39 – $860.57 | 10 |
| Esophageal recording CPT 93615 | $3,028.95 | $5,715.00 | $22.05 – $46.29 | 6 |
| Esophageal recording CPT 93616 | $8,388.31 | $15,827.00 | $68.64 – $222.22 | 6 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,044.39 – $5,138.20 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,028.29 – $5,128.73 | 6 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $4,423.06 – $10,450.57 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $305.06 – $768.34 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $155.89 – $2,007.94 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $371.21 – $941.52 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $293.93 – $743.21 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $250.46 – $1,410.28 | 6 |
| Esophagoscopy balloon <30mm CPT 43220 | $466.93 | $881.00 | $185.78 – $4,033.70 | 6 |
| Esophagoscopy control bleed CPT 43227 | $290.97 | $549.00 | $260.01 – $2,476.15 | 6 |
| Esophagoscopy flex biopsy CPT 43202 | $458.98 | $866.00 | $162.35 – $1,345.29 | 6 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $303.16 | $572.00 | $137.77 – $2,007.94 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $128.94 – $2,007.94 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | $417.11 | $787.00 | $220.59 – $1,523.56 | 6 |
| Esophagoscopy lesion ablate CPT 43229 | $717.62 | $1,354.00 | $310.08 – $2,770.53 | 6 |
| Esophagoscopy lesion removal CPT 43216 | $143.63 | $271.00 | $210.72 – $1,563.62 | 6 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $405.81 – $4,888.88 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $294.27 – $724.72 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $247.01 – $608.40 | 6 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $873.54 – $2,153.03 | 6 |
| Esophagoscopy snare les remv CPT 43217 | $568.16 | $1,072.00 | $252.84 – $1,598.30 | 6 |
| Esophagoscopy w/us needle bx CPT 43232 | $374.18 | $706.00 | $313.29 – $1,685.07 | 6 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $311.39 – $774.74 | 6 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $269.21 – $665.92 | 6 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $269.94 – $667.32 | 6 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $301.90 – $755.71 | 6 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,979.70 – $4,986.67 | 6 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $223.16 – $564.86 | 6 |
| Esophagus motility study CPT 91010 | $259.70 | $490.00 | $104.92 – $1,136.37 | 9 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $79.58 – $1,136.37 | 9 |
| Esoph egd dilation <30 mm CPT 43249 | $357.75 | $675.00 | $242.06 – $4,351.45 | 6 |
| Esoph endoscopy dilation CPT 43226 | $447.32 | $844.00 | $203.78 – $1,418.11 | 6 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,259.11 – $3,161.80 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,693.88 – $4,307.71 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | $33.39 | $63.00 | $14.93 – $34.60 | 6 |
| Esoph imped function test CPT 91037 | $3,370.80 | $6,360.00 | $79.59 – $666.91 | 9 |
| Esoph imped funct test > 1hr CPT 91038 | $1,041.98 | $1,966.00 | $90.36 – $1,136.37 | 9 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $210.51 – $1,161.08 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $214.08 – $541.12 | 6 |
| Esoph scope w/submucous inj CPT 43201 | $452.09 | $853.00 | $162.71 – $973.53 | 6 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $5,347.45 – $13,754.02 | 6 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $5,648.32 – $14,531.10 | 6 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $4,817.92 – $12,245.43 | 6 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $5,226.40 – $13,344.93 | 6 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $811.66 – $1,652.05 | 6 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $476.83 – $865.13 | 6 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $846.33 – $1,728.64 | 6 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $986.97 – $1,977.43 | 6 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $328.41 – $668.29 | 6 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $918.32 – $1,550.37 | 6 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $528.21 – $1,074.70 | 6 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $1,377.46 – $2,325.77 | 6 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,904.95 – $3,397.71 | 6 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $1,636.59 – $2,949.42 | 6 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $565.06 – $1,156.36 | 6 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $813.69 – $1,589.26 | 6 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $477.39 – $866.43 | 6 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $847.64 – $1,663.71 | 6 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $574.57 – $1,031.97 | 6 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $1,251.13 – $2,338.96 | 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.