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 |
|---|---|---|---|---|
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1.34 | $2.53 | $0.35 – $1.01 | 11 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1.06 | $2.00 | $1.13 – $1.99 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1.18 | $2.23 | $0.27 – $0.98 | 11 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,091.20 – $2,745.36 | 6 |
| Filtered speech hearing test CPT 92571 | not published | not published | $38.21 – $95.46 | 9 |
| Filters elec/combo vad, rep HCPCS Q0500 | $581.27 | $1,096.74 | $30.63 – $44.32 | 4 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,306.37 – $3,235.56 | 6 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $141.64 – $1,506.85 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $81.99 – $670.39 | 6 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $79.50 | $150.00 | $48.45 – $203.65 | 6 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $936.51 | $1,767.00 | $56.69 – $237.92 | 6 |
| Fine needle asp without image guide 10021 CPT 10021 | $159.00 | $300.00 | $87.04 – $855.65 | 9 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $762.25 | $1,438.20 | $448.30 – $648.43 | 4 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,462.05 – $3,444.45 | 6 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,889.38 – $4,517.42 | 6 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,738.56 – $4,195.65 | 6 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,066.48 – $2,624.53 | 6 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $29.34 – $157.14 | 9 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $39.93 – $181.71 | 9 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $157.08 – $469.64 | 6 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $21.52 – $84.06 | 9 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $33.56 – $84.06 | 9 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $64.46 – $144.74 | 6 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $56.15 – $125.47 | 6 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $69.02 – $155.29 | 6 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $74.65 – $430.83 | 9 |
| Fixation of ankle joint CPT 27860 | not published | not published | $264.23 – $672.24 | 6 |
| Fixation of knee joint CPT 27570 | not published | not published | $245.36 – $590.48 | 6 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,537.60 – $3,793.48 | 6 |
| Fix g/colon tube w/device CPT 49460 | $727.69 | $1,373.00 | $78.27 – $2,917.81 | 9 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,071.36 – $2,596.78 | 6 |
| Flecainide (tambocor)-sendout CPT 80181 | $31.80 | $60.00 | $18.64 – $62.44 | 12 |
| Fl exam g/colon tube w contrast CPT 49465 | $2,313.45 | $4,365.00 | $48.84 – $609.47 | 9 |
| Flexible Sigmoidoscopy CPT 45330 | $984.21 | $1,857.00 | $88.88 – $1,952.57 | 9 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,142.52 – $2,803.42 | 6 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,245.79 – $3,068.85 | 6 |
| Floor of mouth biopsy 41108 CPT 41108 | $142.57 | $269.00 | $147.44 – $618.32 | 6 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $1,836.45 | $3,465.00 | $911.11 – $1,856.87 | 6 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $53.33 – $373.02 | 12 |
| Flow cytometry marker each additional CPT 88185 | $137.80 | $260.00 | $24.95 – $147.87 | 12 |
| Flow cytometry one marker technical component CPT 88184 | $190.80 | $360.00 | $24.95 – $770.40 | 15 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $53.33 – $301.80 | 12 |
| Flt3 gene CPT 81245 | $283.02 | $534.00 | $165.51 – $529.57 | 16 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $265.92 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $17.71 | $33.42 | $2.67 – $8.54 | 10 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $75.26 | $142.00 | $119.06 – $121.44 | 2 |
| Fluidotherapy charges pt CPT 97022 | $106.53 | $201.00 | $14.89 – $74.98 | 9 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $138.41 – $1,506.85 | 9 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | $19.61 | $37.00 | $18.50 – $26.14 | 7 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $56.08 – $1,136.37 | 9 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $69.65 – $666.91 | 9 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $88.84 – $666.91 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $84.80 | $160.00 | $12.05 – $52.73 | 16 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $398.03 | $751.00 | $46.78 – $100.40 | 6 |
| Fluoroguide needle placement CPT 77002 | $374.71 | $707.00 | $43.88 – $92.76 | 6 |
| Fluoro polarize fetal lung CPT 83663 | $127.20 | $240.00 | $18.91 – $82.54 | 16 |
| Fluoroscopy up to 1 hour CPT 76000 | $403.86 | $762.00 | $24.57 – $517.79 | 10 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $8.77 | $16.55 | $2.89 – $9.82 | 10 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $42.33 | $79.86 | $11.03 – $33.40 | 11 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $5,936.00 | $11,200.00 | $1,442.76 – $10,266.30 | 7 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $19.61 | $37.00 | $19.75 – $22.34 | 5 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $19.61 | $37.00 | $36.51 – $36.51 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $196.66 – $517.79 | 10 |
| Fmri brain by tech CPT 70554 | $1,167.59 | $2,203.00 | $165.32 – $517.79 | 10 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,047.81 | $1,977.00 | $174.68 – $1,867.06 | 9 |
| Fna bx w/ct gdn ea addl CPT 10010 | $392.20 | $740.00 | $113.81 – $1,124.71 | 6 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $518.40 – $1,644.02 | 9 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $294.37 – $993.15 | 6 |
| Foam stability fetal lung CPT 83662 | $60.42 | $114.00 | $18.91 – $82.54 | 16 |
| Folic acid CPT 82746 | $120.84 | $228.00 | $14.70 – $64.19 | 16 |
| Follow-up angiography CPT 75898 | $714.44 | $1,348.00 | $72.06 – $6,438.74 | 7 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $895.64 – $3,003.78 | 6 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $17.95 | $33.87 | $10.00 – $16.16 | 5 |
| Fondaparinux sodium HCPCS J1652 | $2.96 | $5.59 | $1.11 – $3.32 | 11 |
| Fo nontorsion joint cf HCPCS L3935 | $513.57 | $969.00 | $201.42 – $291.34 | 4 |
| Foot arch support remov prem HCPCS L3030 | $195.04 | $368.00 | $76.44 – $110.56 | 4 |
| Foot insert plastazote or eq HCPCS L3002 | $181.26 | $342.00 | $161.80 – $234.02 | 4 |
| Foot insert silicone gel eac HCPCS L3003 | $196.10 | $370.00 | $174.54 – $252.46 | 4 |
| Foot longitudinal arch suppo HCPCS L3010 | $445.20 | $840.00 | $174.54 – $252.46 | 4 |
| Foot longitud/metatarsal sup HCPCS L3020 | $223.13 | $421.00 | $198.76 – $287.49 | 4 |
| Foot plas heel stabi pre ots HCPCS L3170 | $40.81 | $77.00 | $50.96 – $73.70 | 4 |
| Foot X-ray CPT 73630 | $187.09 | $353.00 | $13.26 – $188.56 | 10 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $1,326.06 | $2,502.00 | $826.31 – $1,195.19 | 4 |
| Forearm/arm cuffs free motio HCPCS L3720 | $962.48 | $1,816.00 | $622.97 – $901.07 | 4 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,592.63 – $4,421.65 | 6 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $734.30 – $2,063.20 | 9 |
| Forensic cytopathology CPT 88125 | not published | not published | $12.72 – $114.42 | 15 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $90.03 – $520.87 | 9 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1.59 | $3.00 | $0.18 – $0.43 | 11 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $33.39 | $63.00 | $4.65 – $13.78 | 7 |
| Fractionation ketosteroids CPT 83593 | $86.39 | $163.00 | $28.50 – $114.64 | 16 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $13.26 – $188.56 | 10 |
| _fragile x methylation-sendout CPT 81244 | $330.19 | $623.00 | $44.89 – $143.28 | 16 |
| Fragmenting of kidney stone CPT 50590 | $754.72 | $1,424.00 | $909.26 – $2,941.59 | 6 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $3,594.33 – $9,027.67 | 6 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,674.64 – $4,217.42 | 6 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $3,856.53 – $8,973.83 | 6 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $3,618.82 – $9,016.84 | 6 |
| Free omental flap microvasc CPT 49906 | not published | not published | $3,400.39 – $7,912.43 | 6 |
| Free/remove chest lining 32320 CPT 32320 | $3,859.99 | $7,283.00 | $2,432.07 – $6,109.94 | 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.