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 |
|---|---|---|---|---|
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $27.57 – $54.80 | 6 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $28.73 – $65.34 | 6 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $15.47 – $29.27 | 6 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $28.15 – $57.39 | 6 |
| Essure 58565 CPT 58565 | $3,388.29 | $6,393.00 | $731.42 – $7,201.65 | 6 |
| Establish access to aorta CPT 36160 | $1,746.35 | $3,295.00 | $191.45 – $2,177.10 | 6 |
| Establish access to artery CPT 36100 | $906.30 | $1,710.00 | $231.17 – $2,047.29 | 6 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,569.15 – $3,876.14 | 6 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,376.80 – $5,879.40 | 6 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,399.22 – $3,421.70 | 6 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,469.36 – $3,637.73 | 6 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,049.37 – $5,062.52 | 6 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,454.91 – $3,670.48 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $183.38 | $346.00 | $14.38 – $55.25 | 6 |
| Established Patient Office Visit (level 2) CPT 99212 | $305.28 | $576.00 | $53.91 – $107.67 | 6 |
| Established Patient Office Visit (level 3) CPT 99213 | $427.18 | $806.00 | $86.74 – $178.43 | 6 |
| Established Patient Office Visit (level 4) CPT 99214 | $477.00 | $900.00 | $122.48 – $259.52 | 6 |
| Established Patient Office Visit (level 5) CPT 99215 | $668.33 | $1,261.00 | $232.24 – $373.92 | 6 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $269.35 – $679.21 | 6 |
| Estradiol total CPT 82670 | $158.47 | $299.00 | $27.94 – $121.50 | 16 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $10.07 | $19.00 | $9.76 – $16.65 | 9 |
| Estrogens total-sendout CPT 82672 | $84.27 | $159.00 | $21.70 – $95.14 | 16 |
| Etanercept injection HCPCS J1438 | $343.97 | $649.00 | $501.30 – $501.30 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,540.10 – $3,693.16 | 6 |
| Ethylene glycol -sendout CPT 82693 | $153.17 | $289.00 | $13.39 – $57.59 | 16 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $2.15 | $4.06 | $1.03 – $3.02 | 10 |
| Euflexxa inj per dose HCPCS J7323 | $161.12 | $304.00 | $149.02 – $257.42 | 9 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $36.68 | 16 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $836.08 – $1,947.25 | 6 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $29.04 – $78.70 | 6 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $123.52 – $335.08 | 9 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $117.54 – $469.72 | 9 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $38.21 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $288.85 | $545.00 | $98.11 – $307.05 | 16 |
| Evaluation heart device CPT 93640 | not published | not published | $270.16 – $627.11 | 6 |
| Evaluation of speech fluency 92521 CPT 92521 | $356.16 | $672.00 | $127.16 – $412.00 | 9 |
| Evaluation psychiatric diagnostic CPT 90791 | $457.92 | $864.00 | $156.41 – $521.92 | 9 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $8,619.92 | $16,264.00 | $853.47 – $2,153.53 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,309.96 | $8,132.00 | $365.04 – $921.89 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $53,366.23 | $100,691.00 | $1,832.52 – $4,730.74 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $34,994.84 | $66,028.00 | $1,840.62 – $4,750.92 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $69,983.32 | $132,044.00 | $2,737.90 – $7,077.38 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $102,824.24 | $194,008.00 | $3,366.03 – $8,806.31 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $53,366.23 | $100,691.00 | $653.87 – $1,691.99 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $39,773.32 | $75,044.00 | $2,041.24 – $5,234.18 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $79,545.58 | $150,086.00 | $3,394.32 – $8,702.46 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $23,579.70 | $44,490.00 | $1,735.12 – $4,437.88 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $47,160.99 | $88,983.00 | $2,678.35 – $7,082.87 | 6 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $1,468.17 – $3,800.29 | 6 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,168.22 – $3,023.55 | 6 |
| Event monitor CPT 93270 | $487.60 | $920.00 | $13.31 – $79.86 | 9 |
| Evoked auditory tst complete CPT 92588 | $71.02 | $134.00 | $8.40 – $666.91 | 9 |
| Evoked oa emissions ltd CPT 92587 | $39.75 | $75.00 | $6.21 – $666.91 | 9 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $469.05 | $885.00 | $45.41 – $107.74 | 6 |
| Evoked potentials upper limbs CPT 95925 | $356.69 | $673.00 | $45.51 – $666.91 | 9 |
| Evoked potential visual not glaucoma CPT 95930 | $231.61 | $437.00 | $30.19 – $666.91 | 9 |
| Evok oa screening qual CPT 92558 | $8.48 | $16.00 | $15.45 – $35.82 | 6 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,820.55 | $3,435.00 | $714.04 – $1,032.79 | 4 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $141.03 – $651.46 | 9 |
| Exam pelvic add-on CPT 99459 | $123.49 | $233.00 | $57.53 – $57.53 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $166.99 – $419.27 | 6 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $868.48 – $2,119.95 | 6 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,088.37 – $2,701.33 | 6 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $1,080.28 – $2,719.98 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | $519.93 | $981.00 | $686.95 – $1,698.02 | 6 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $883.81 – $2,179.07 | 6 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,035.38 – $2,577.26 | 6 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,848.92 – $4,634.85 | 5 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,699.41 – $6,770.49 | 5 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,420.34 – $1,574.20 | 5 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $354.04 | $668.00 | $524.69 – $2,040.73 | 6 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $4,084.10 – $9,868.66 | 6 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,735.55 – $4,096.31 | 6 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $2,575.76 – $6,164.60 | 6 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $575.21 – $1,924.91 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,150.85 – $2,855.20 | 6 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $502.83 – $1,216.10 | 6 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $360.84 – $1,117.41 | 6 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $505.00 – $1,537.42 | 6 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $285.46 – $926.60 | 6 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $92.22 | $174.00 | $135.56 – $1,506.85 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $172.48 – $1,506.85 | 9 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $236.38 – $1,506.85 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $287.08 – $893.68 | 6 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $176.60 – $1,506.85 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $251.07 – $805.40 | 6 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $427.98 – $1,320.04 | 6 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $96.46 | $182.00 | $170.58 – $855.65 | 9 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $238.95 – $1,506.85 | 9 |
| Exc breast duct fistula 19112 CPT 19112 | $330.72 | $624.00 | $506.48 – $1,797.89 | 6 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $2,080.83 – $5,259.36 | 6 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $938.86 – $2,295.67 | 6 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $1,326.17 – $3,282.71 | 6 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $988.31 – $2,421.83 | 6 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,758.24 – $4,547.35 | 6 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $2,383.20 – $6,135.36 | 6 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $2,590.14 – $6,770.29 | 6 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,922.33 – $4,868.55 | 6 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,872.91 – $4,740.95 | 6 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $1,270.10 – $3,111.08 | 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.