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 |
|---|---|---|---|---|
| Free skin flap microvasc CPT 15757 | not published | not published | $3,604.70 – $8,976.17 | 6 |
| Frenectomy 41115 CPT 41115 | $244.33 | $461.00 | $236.79 – $1,008.35 | 6 |
| Frenotomy 40806 CPT 40806 | $191.86 | $362.00 | $46.49 – $1,090.63 | 9 |
| Frenulotomy of penis CPT 54164 | not published | not published | $310.35 – $769.53 | 6 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $151.58 | $286.00 | $129.54 – $129.54 | 1 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $217.30 | $410.00 | $145.30 – $145.30 | 1 |
| Fresh frozen plasma thawing ea un CPT 86927 | $102.29 | $193.00 | $21.83 – $367.00 | 12 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $38.21 – $307.20 | 12 |
| Frozen blood prep CPT 86930 | not published | not published | $71.07 – $367.00 | 12 |
| Frozen blood thaw CPT 86931 | not published | not published | $71.07 – $367.00 | 12 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $39.03 | 16 |
| Fructosamine glycated protein CPT 82985 | $88.51 | $167.00 | $16.76 – $58.24 | 16 |
| Ft arch suprt premold longit HCPCS L3040 | $37.10 | $70.00 | $47.16 – $68.22 | 4 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $215.07 – $830.13 | 6 |
| Fth/gft fr trnk each addl CPT 15201 | $817.26 | $1,542.00 | $118.88 – $576.54 | 6 |
| Ft insert ucb berkeley shell HCPCS L3000 | $247.51 | $467.00 | $314.71 – $455.19 | 4 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,561.74 – $6,990.00 | 13 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $6,990.00 | 16 |
| Ftl cgen abnor four anal CPT 81511 | $500.32 | $944.00 | $153.50 – $488.29 | 16 |
| Ftl cgen abnor three anal CPT 81510 | $398.56 | $752.00 | $55.54 – $176.52 | 16 |
| Ftl cgen abnor two proteins CPT 81508 | $120.84 | $228.00 | $54.30 – $173.08 | 16 |
| Full field erg w/i&r CPT 92273 | not published | not published | $60.18 – $666.91 | 9 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $17.78 – $517.79 | 10 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,358.64 – $3,973.88 | 6 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $974.66 – $3,044.54 | 6 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $170.13 | $321.00 | $107.75 – $533.37 | 6 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,273.74 – $3,679.63 | 6 |
| Functional brain mapping CPT 96020 | not published | not published | $153.24 – $534.80 | 6 |
| Fundus photography with i&r 92250 CPT 92250 | $50.88 | $96.00 | $26.45 – $276.06 | 9 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $3.21 | $6.05 | $0.52 – $1.74 | 10 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $4,932.38 – $12,496.51 | 6 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,109.97 – $5,305.85 | 6 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,117.91 – $5,361.08 | 6 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,136.59 – $5,373.87 | 6 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,015.76 – $5,066.62 | 6 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $2,261.20 – $5,690.27 | 6 |
| Fuse/graft added joint CPT 26863 | not published | not published | $355.15 – $886.58 | 6 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,336.58 – $5,885.39 | 5 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $4,542.67 – $11,675.69 | 6 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,552.43 – $6,415.27 | 6 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,998.43 – $5,040.79 | 6 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,686.67 – $4,217.88 | 6 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,078.66 – $5,224.18 | 6 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,246.75 – $2,910.10 | 6 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,391.60 – $3,267.13 | 6 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,602.62 – $4,012.38 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $927.89 – $3,186.27 | 6 |
| Fusion of big toe joint CPT 28755 | $367.29 | $693.00 | $539.55 – $2,050.90 | 6 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,977.71 – $5,010.04 | 6 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $157.84 – $402.83 | 6 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,003.58 – $2,292.72 | 6 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,079.28 – $2,488.25 | 6 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,063.86 – $2,436.51 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $1,166.18 – $2,907.84 | 6 |
| Fusion of foot bones CPT 28735 | not published | not published | $1,247.90 – $3,079.06 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $990.86 – $3,352.32 | 6 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,268.32 – $2,956.88 | 6 |
| Fusion of knee CPT 27580 | not published | not published | $2,324.41 – $5,699.04 | 6 |
| Fusion of knuckle CPT 26850 | not published | not published | $1,196.46 – $2,783.78 | 6 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,210.48 – $2,825.88 | 6 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,400.82 – $3,289.88 | 6 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,417.95 – $3,332.56 | 6 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $1,353.27 – $3,181.11 | 6 |
| Fusion of skull arteries CPT 61711 | not published | not published | $3,809.85 – $9,532.25 | 6 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,272.19 – $3,203.86 | 6 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,678.44 – $4,230.83 | 6 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,102.38 – $2,686.40 | 6 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,031.12 – $2,523.51 | 6 |
| Fusion of thumb CPT 26841 | not published | not published | $1,256.71 – $2,917.44 | 6 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,101.14 – $2,699.36 | 6 |
| Fusion of toes CPT 28280 | $343.44 | $648.00 | $562.73 – $2,070.71 | 6 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $2,157.78 – $5,390.48 | 6 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,876.75 – $4,706.60 | 6 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,823.34 – $4,612.13 | 6 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $873.41 | 13 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $435.57 | 13 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $873.41 | 13 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $588.03 | 13 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $6,990.00 | 16 |
| G6pd full gene sequence CPT 81249 | $1,387.54 | $2,618.00 | $600.00 – $1,910.76 | 16 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $557.06 | 16 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,194.37 | 16 |
| Gabapentin non-blood CPT 80355 | not published | not published | $26.27 – $79.09 | 8 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $69.96 | $132.00 | $21.07 – $91.69 | 16 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $94.00 | 16 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $36.74 | 16 |
| Galectin-3 CPT 82777 | $96.99 | $183.00 | $26.02 – $138.49 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,017.79 – $2,541.75 | 6 |
| Gamma globulin 1 cc inj HCPCS J1460 | $49.29 | $93.00 | $55.05 – $83.70 | 6 |
| Gammaglobulin iga CPT 82784 | $89.04 | $168.00 | $9.30 – $40.13 | 16 |
| Gammaglobulin ige CPT 82785 | $133.56 | $252.00 | $16.46 – $72.23 | 16 |
| Gamma glutamyltransferase CPT 82977 | $36.04 | $68.00 | $7.20 – $30.95 | 16 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $75.77 | $142.96 | $47.33 – $137.01 | 10 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $152.46 | 16 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $182.24 | 16 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $24.09 | 16 |
| Gastric emptying imag study CPT 78265 | not published | not published | $75.24 – $860.57 | 10 |
| Gastric emptying imag study CPT 78266 | not published | not published | $80.46 – $1,152.80 | 10 |
| Gastric motility studies CPT 91020 | not published | not published | $118.71 – $1,136.37 | 9 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $45.95 – $860.57 | 10 |
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.