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 |
|---|---|---|---|---|
| Excision lesion mouth roof CPT 42106 | $230.02 | $434.00 | $263.01 – $1,064.89 | 6 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $531.50 – $1,847.71 | 6 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $222.60 | $420.00 | $214.23 – $948.08 | 6 |
| Excision of anal lesion(s) CPT 46922 | $296.80 | $560.00 | $218.71 – $1,160.05 | 6 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $2,042.21 – $5,132.30 | 6 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $2,389.89 – $6,014.91 | 6 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $3,045.30 – $7,688.20 | 6 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $1,525.61 – $3,814.39 | 6 |
| Excision of brain tumor CPT 61545 | not published | not published | $4,700.45 – $11,690.00 | 6 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $1,023.84 – $2,480.34 | 6 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $1,527.47 – $3,854.16 | 6 |
| Excision of gum flap CPT 41821 | not published | not published | $87.99 – $214.14 | 6 |
| Excision of gum lesion CPT 41822 | not published | not published | $320.82 – $1,365.67 | 6 |
| Excision of gum lesion CPT 41823 | not published | not published | $587.23 – $2,010.80 | 6 |
| Excision of gum lesion CPT 41826 | not published | not published | $320.67 – $1,253.17 | 6 |
| Excision of gum lesion CPT 41827 | not published | not published | $465.75 – $1,782.64 | 6 |
| Excision of gum lesion CPT 41828 | not published | not published | $352.46 – $1,370.79 | 6 |
| Excision of gum lesion 41825 CPT 41825 | $202.99 | $383.00 | $196.50 – $867.81 | 6 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,307.98 – $3,233.79 | 6 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $960.57 – $2,326.46 | 6 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,200.90 – $2,978.86 | 6 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $491.11 – $1,595.43 | 6 |
| Excision of neck cyst CPT 42815 | not published | not published | $871.73 – $2,152.05 | 6 |
| Excision of neck cyst confined 42810 CPT 42810 | $258.11 | $487.00 | $458.25 – $1,526.55 | 6 |
| Excision of penis lesion(s) 54060 CPT 54060 | $115.54 | $218.00 | $210.17 – $746.73 | 6 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,577.87 – $3,945.06 | 6 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $2,059.69 – $5,155.59 | 6 |
| Excision of rectal stricture CPT 45150 | not published | not published | $659.86 – $1,618.52 | 6 |
| Excision of salivary cyst CPT 42408 | $317.47 | $599.00 | $567.92 – $2,104.86 | 6 |
| Excision of skull/sutures CPT 61558 | not published | not published | $2,797.03 – $6,909.07 | 6 |
| Excision of skull/sutures CPT 61559 | not published | not published | $3,557.96 – $8,799.30 | 6 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,936.04 – $7,276.80 | 6 |
| Excision of skull tumor CPT 61564 | not published | not published | $3,558.34 – $8,830.25 | 6 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,504.04 – $3,784.01 | 6 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,885.32 – $4,717.26 | 6 |
| Excision of tongue lesion CPT 41112 | not published | not published | $394.84 – $1,335.49 | 6 |
| Excision of tongue lesion CPT 41114 | not published | not published | $1,000.47 – $2,454.63 | 6 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $430.64 – $1,450.87 | 6 |
| Excision of tonsil tags CPT 42860 | not published | not published | $314.87 – $745.95 | 6 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $924.44 – $2,283.17 | 6 |
| Excision of uvula CPT 42140 | $243.80 | $460.00 | $262.80 – $1,119.55 | 6 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $277.75 – $815.08 | 6 |
| Excision olecranon bursa CPT 24105 | not published | not published | $583.59 – $1,390.27 | 6 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,425.55 – $3,592.75 | 6 |
| Excision radial head CPT 24130 | not published | not published | $824.62 – $1,998.96 | 6 |
| Excision tongue lesion without closure 41110 CPT 41110 | $199.28 | $376.00 | $210.43 – $875.56 | 6 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $1,124.13 | $2,121.00 | $733.40 – $1,818.80 | 6 |
| Excis partial tal calc CPT 28120 | not published | not published | $798.40 – $2,709.44 | 6 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,851.47 – $4,772.07 | 6 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $1,068.35 – $2,662.34 | 6 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $747.24 – $1,823.72 | 6 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $238.73 – $932.67 | 6 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $294.42 – $1,291.95 | 6 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $662.97 – $2,181.16 | 6 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $192.92 | $364.00 | $199.27 – $839.35 | 6 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,576.63 – $4,065.15 | 6 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $195.74 – $505.20 | 6 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,248.57 – $3,218.75 | 6 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $159.53 | $301.00 | $203.25 – $1,506.85 | 9 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $209.35 | $395.00 | $291.18 – $1,506.85 | 9 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $267.12 | $504.00 | $448.04 – $1,547.01 | 6 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $616.06 – $2,008.75 | 6 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $155.82 | $294.00 | $196.96 – $783.92 | 6 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $167.48 | $316.00 | $239.46 – $1,506.85 | 9 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $184.97 | $349.00 | $334.71 – $1,183.67 | 6 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $157.41 | $297.00 | $195.84 – $1,506.85 | 9 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $167.48 | $316.00 | $238.15 – $1,506.85 | 9 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $180.20 | $340.00 | $259.52 – $979.70 | 9 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $184.44 | $348.00 | $309.43 – $1,506.85 | 9 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $207.23 | $391.00 | $339.63 – $1,506.85 | 9 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,068.74 – $3,308.50 | 6 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $841.84 – $2,063.28 | 6 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $1,146.68 – $2,835.85 | 6 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $693.50 – $2,250.90 | 6 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,702.86 – $4,268.63 | 6 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $1,260.02 – $3,114.52 | 6 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $691.99 – $1,666.81 | 6 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $177.02 | $334.00 | $289.78 – $1,220.69 | 6 |
| Exc prtl bn phlnx toe CPT 28124 | $298.92 | $564.00 | $541.72 – $1,934.71 | 6 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $1,306.13 – $3,205.42 | 6 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $980.92 – $2,378.62 | 6 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $1,367.94 – $3,358.06 | 6 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,835.52 – $4,525.95 | 6 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $1,100.94 – $2,699.07 | 6 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $1,491.09 – $3,681.14 | 6 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $858.62 – $2,105.97 | 6 |
| Exc skn hdrdnt ax complex CPT 11451 | $323.30 | $610.00 | $522.87 – $1,990.71 | 6 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $269.77 | $509.00 | $411.77 – $1,598.06 | 6 |
| Exc skn hdrdnt ing complex CPT 11463 | $338.67 | $639.00 | $526.88 – $2,024.91 | 6 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $180.20 | $340.00 | $271.78 – $1,506.85 | 9 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $232.67 | $439.00 | $378.11 – $1,336.93 | 6 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $278.78 | $526.00 | $459.75 – $1,603.43 | 6 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $488.34 – $1,862.10 | 6 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $554.38 | $1,046.00 | $700.01 – $1,726.35 | 6 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $488.15 – $1,679.57 | 6 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $396.97 | $749.00 | $549.47 – $1,989.53 | 6 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $347.68 | $656.00 | $505.12 – $1,995.51 | 6 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $646.39 – $1,608.02 | 6 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $602.08 | $1,136.00 | $659.50 – $1,628.23 | 6 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $658.41 – $1,622.62 | 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.