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 |
|---|---|---|---|---|
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $2,624.90 – $6,431.83 | 6 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,680.25 – $4,159.57 | 6 |
| Extensive hysterectomy CPT 58285 | not published | not published | $2,251.48 – $5,516.02 | 6 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,925.51 – $4,783.47 | 6 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $2,050.23 – $4,852.15 | 6 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $2,721.50 – $6,496.61 | 6 |
| Extensive prostate surgery CPT 55810 | not published | not published | $2,065.99 – $5,238.00 | 6 |
| Extensive prostate surgery CPT 55812 | not published | not published | $2,540.09 – $6,434.09 | 6 |
| Extensive prostate surgery CPT 55815 | not published | not published | $2,780.35 – $7,048.19 | 6 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,850.19 – $4,679.66 | 6 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,850.55 – $4,680.64 | 6 |
| Extensive prostate surgery CPT 55845 | not published | not published | $2,150.99 – $5,448.90 | 6 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,734.77 – $4,384.99 | 6 |
| Extensive prostate surgery CPT 55865 | not published | not published | $2,111.13 – $5,339.84 | 6 |
| Extensive removal of liver CPT 47122 | not published | not published | $5,218.32 – $13,198.72 | 6 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,854.87 – $4,639.68 | 5 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,633.38 – $3,976.84 | 6 |
| Extensive surgery of throat CPT 42844 | not published | not published | $2,219.88 – $5,476.45 | 6 |
| Extensive surgery of throat CPT 42845 | not published | not published | $3,536.00 – $8,810.41 | 6 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,183.20 – $2,978.04 | 6 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,621.52 – $6,509.61 | 6 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,284.55 – $5,501.05 | 6 |
| External cannula declotting CPT 36860 | not published | not published | $166.06 – $959.69 | 6 |
| External chromosome analysis 20-25 cells CPT 88264 | $679.99 | $1,283.00 | $144.61 – $543.30 | 16 |
| External ocular photography CPT 92285 | not published | not published | $4.71 – $84.06 | 9 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $256.52 | $484.00 | $21.46 – $108.88 | 12 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $4,066.65 – $12,121.15 | 13 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $431.95 | $815.00 | $117.97 – $488.01 | 16 |
| Extnd color vision xm CPT 92283 | not published | not published | $14.35 – $127.20 | 9 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $109.18 | $206.00 | $17.93 – $77.95 | 16 |
| Extraction of lens CPT 66930 | not published | not published | $1,379.43 – $3,413.05 | 6 |
| Extraction of lens CPT 66940 | not published | not published | $1,262.40 – $3,117.64 | 6 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,205.16 – $2,994.11 | 6 |
| Eye allergy tests CPT 95060 | $57.77 | $109.00 | $60.93 – $276.06 | 9 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $44.22 – $118.29 | 6 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $310.93 – $1,217.17 | 6 |
| Eye suture during surgery CPT 67335 | not published | not published | $301.15 – $587.65 | 6 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $557.07 | 13 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $898.64 | 13 |
| F-18 fdg pet diag HCPCS A9552 | $2,022.48 | $3,816.00 | $466.77 – $689.02 | 5 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,910.76 | 16 |
| Face bone graft CPT 21210 | $5,294.17 | $9,989.00 | $1,226.75 – $8,192.89 | 6 |
| Facial bones <3 CPT 70140 | $234.79 | $443.00 | $16.05 – $188.56 | 10 |
| Facial nerve function test CPT 92516 | $86.39 | $163.00 | $36.99 – $666.91 | 9 |
| Factor ix CPT 85250 | $175.43 | $331.00 | $19.04 – $82.54 | 16 |
| Factor viii CPT 85240 | $191.33 | $361.00 | $16.58 – $69.17 | 16 |
| Fallopian tube recnl CPT 58345 | not published | not published | $460.55 – $1,128.12 | 6 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $29.00 – $130.61 | 8 |
| Family therapy without pt 50min 90846 CPT 90846 | $255.46 | $482.00 | $156.41 – $372.52 | 9 |
| Family therapy with patient 50 min 90847 CPT 90847 | $255.46 | $482.00 | $156.41 – $385.84 | 9 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $48.84 | $92.15 | $29.58 – $83.08 | 10 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $6,990.00 | 16 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,458.19 – $3,580.94 | 6 |
| Fat/lipids feces qualitative CPT 82705 | $54.06 | $102.00 | $5.10 – $21.78 | 16 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $58.74 | 16 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $19.50 | 16 |
| Fecal microbiota prep instil HCPCS G0455 | $157.41 | $297.00 | $113.10 – $189.00 | 2 |
| #fecal-sodium CPT 84302 | $36.04 | $68.00 | $4.86 – $21.78 | 16 |
| Feeding tube reposition CPT 74355 | not published | not published | $59.82 – $126.93 | 6 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $67.03 – $150.74 | 6 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $215.42 – $781.66 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $34.98 | $66.00 | $18.64 – $62.44 | 12 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $347.46 – $899.29 | 6 |
| Fem/popl revasc w/stent CPT 37226 | $23,491.19 | $44,323.00 | $771.80 – $39,893.16 | 6 |
| Feno poc CPT 95012 | not published | not published | $30.28 – $84.06 | 9 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $2.11 | $3.99 | $1.06 – $2.96 | 11 |
| Fern test HCPCS Q0114 | $18.02 | $34.00 | $10.23 – $30.48 | 13 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2.83 | $5.34 | $1.27 – $3.51 | 10 |
| Ferritin CPT 82728 | $87.98 | $166.00 | $13.63 – $59.60 | 16 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2.08 | $3.92 | $0.44 – $1.53 | 10 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $6,990.00 | 16 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $720.80 | $1,360.00 | $83.66 – $245.18 | 10 |
| Fetal chrmoml microdeltj CPT 81422 | $1,206.81 | $2,277.00 | $759.05 – $2,562.95 | 16 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,206.81 | $2,277.00 | $759.05 – $2,562.95 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $82.68 | $156.00 | $54.91 – $430.83 | 9 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $296.12 – $762.11 | 9 |
| Fetal fibronectin CPT 82731 | $465.34 | $878.00 | $64.41 – $280.83 | 16 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $296.12 – $1,474.44 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $81.62 | $154.00 | $7.73 – $33.23 | 16 |
| Fetal hemoglobin rosette CPT 85461 | $58.30 | $110.00 | $9.36 – $29.29 | 16 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $116.60 | $220.00 | $19.32 – $82.54 | 16 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $62.48 – $158.83 | 6 |
| Fetal monitor w/report CPT 59050 | not published | not published | $75.12 – $191.84 | 6 |
| Fetal non stress test CPT 59025 | $54.59 | $103.00 | $32.47 – $430.83 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $167.45 – $651.46 | 9 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $296.12 – $1,972.14 | 9 |
| #_fet/norfentcnfrmur CPT 80354 | $140.45 | $265.00 | $31.67 – $79.09 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | $86.92 | $164.00 | $10.18 – $39.31 | 16 |
| Fibrin degradation products CPT 85362 | $73.67 | $139.00 | $6.89 – $29.82 | 16 |
| Fibrin degrade semiquant CPT 85378 | $23.85 | $45.00 | $9.72 – $30.95 | 16 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $39.31 | 16 |
| Fibrinogen activity CPT 85384 | $69.96 | $132.00 | $9.72 – $36.68 | 16 |
| Fibrinogen test CPT 85370 | $37.10 | $70.00 | $12.43 – $43.88 | 16 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $24.38 | $46.00 | $10.62 – $48.45 | 16 |
| Fibrinolytic antiplasmin CPT 85410 | $91.69 | $173.00 | $7.71 – $33.23 | 16 |
| Fibrinolytic plasmin CPT 85400 | $26.50 | $50.00 | $7.71 – $38.96 | 16 |
| Fibrinolytic plasminogen CPT 85415 | $65.19 | $123.00 | $17.19 – $74.50 | 16 |
| Fibrinolytic plasminogen CPT 85421 | $89.04 | $168.00 | $10.18 – $44.69 | 16 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $59.89 | $113.00 | $6.53 – $28.64 | 16 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,906.38 – $9,715.65 | 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.