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 |
|---|---|---|---|---|
| Gastrin test CPT 82938 | not published | not published | $17.69 – $76.78 | 16 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,557.18 – $3,916.57 | 6 |
| Gastroesophageal reflux study CPT 78262 | $466.40 | $880.00 | $53.58 – $860.57 | 10 |
| Gastroesophageal reflux test CPT 91034 | $610.56 | $1,152.00 | $80.50 – $1,136.37 | 9 |
| Gastrointestinal repair CPT 43360 | not published | not published | $3,386.42 – $8,608.77 | 6 |
| Gastrointestinal repair CPT 43361 | not published | not published | $4,107.63 – $10,350.16 | 6 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $2,062.17 – $5,177.23 | 6 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $2,007.41 – $5,041.73 | 6 |
| Gastro/jejuno tube, std HCPCS B4087 | $204.03 | $384.96 | $40.23 – $47.24 | 4 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,994.14 – $7,506.32 | 6 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $912.70 – $2,333.15 | 9 |
| Gated heart multiple CPT 78473 | $482.83 | $911.00 | $112.78 – $860.57 | 10 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $6,990.00 | 16 |
| Gel-one HCPCS J7326 | $816.73 | $1,541.00 | $595.00 – $1,516.73 | 10 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1.59 | $3.00 | $0.75 – $1.89 | 11 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $21.83 | $41.18 | $3.63 – $11.32 | 11 |
| General health panel CPT 80050 | $86.92 | $164.00 | $57.26 – $145.56 | 9 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $78.44 – $159.29 | 5 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,570.99 – $7,777.13 | 10 |
| Genioplasty augmentation CPT 21120 | not published | not published | $817.04 – $2,654.79 | 6 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,379.16 – $3,522.06 | 6 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $861.19 – $2,903.78 | 6 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,198.21 – $3,033.63 | 6 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,454.53 – $7,424.10 | 10 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,282.76 – $15,979.50 | 10 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,845.45 – $8,606.99 | 10 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $6.57 | $12.40 | $3.21 – $9.12 | 11 |
| Gentamicin peak therapeutic drug level CPT 80170 | $130.91 | $247.00 | $16.38 – $71.05 | 16 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,314.40 | $2,480.00 | $130.99 – $1,136.37 | 9 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $225.06 – $691.59 | 6 |
| Ghs abscess perianal iandd CPT 46050 | $224.72 | $424.00 | $160.79 – $1,952.57 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,914.58 | $7,386.00 | $280.19 – $996.96 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $41.87 | $79.00 | $9.81 – $33.23 | 16 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $144.16 | $272.00 | $17.11 – $69.91 | 16 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,437.89 | $2,713.00 | $102.26 – $325.53 | 16 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $30.19 – $276.06 | 9 |
| Ghs antibodies (torch) igm CPT 86694 | $94.34 | $178.00 | $14.39 – $63.05 | 16 |
| Ghs aspiration bladder - needle CPT 51100 | $669.39 | $1,263.00 | $61.52 – $520.87 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | $290.97 | $549.00 | $120.78 – $553.25 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | $14.84 | $28.00 | $4.82 – $17.43 | 16 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $161.65 | $305.00 | $87.87 – $1,483.13 | 9 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $135.61 – $948.37 | 6 |
| Ghs change cysto/gastrost CPT 43762 | $804.01 | $1,517.00 | $57.41 – $900.24 | 9 |
| Ghs chemo >8 hrs CPT 96416 | $382.13 | $721.00 | $207.66 – $710.36 | 9 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $273.38 – $710.36 | 9 |
| Ghs chemo IV push, ea addtl CPT 96411 | $268.71 | $507.00 | $69.28 – $214.82 | 9 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $55.65 | $105.00 | $35.09 – $152.46 | 16 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $233.52 – $1,102.70 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $233.52 – $1,473.75 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,022.90 | $1,930.00 | $691.78 – $1,837.46 | 6 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $233.52 – $1,626.06 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $790.08 – $2,097.56 | 6 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,259.36 – $3,128.01 | 6 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $233.52 – $1,314.71 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $707.54 – $1,876.98 | 6 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $790.91 – $2,140.08 | 6 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $233.52 – $2,048.98 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $233.52 – $1,302.20 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | $64.13 | $121.00 | $30.80 – $97.45 | 9 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $32.33 | $61.00 | $58.31 – $854.61 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $25.44 | $48.00 | $47.01 – $276.06 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $65.69 – $854.61 | 9 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $81.40 – $276.06 | 9 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $226.06 – $1,295.72 | 9 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $62.56 – $854.61 | 9 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $72.01 – $276.06 | 9 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $51.41 | $97.00 | $13.78 – $58.74 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $233.52 – $1,450.99 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $163.68 – $2,007.94 | 9 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $65.72 | $124.00 | $51.61 – $568.79 | 9 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,706.07 | $3,219.00 | $167.60 – $1,483.13 | 9 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $152.31 – $936.47 | 9 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $15.50 – $335.08 | 9 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $24.55 – $335.08 | 9 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $3.40 – $30.41 | 6 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $123.49 | $233.00 | $113.41 – $855.65 | 9 |
| Ghs excision ingrown nail CPT 11765 | $132.50 | $250.00 | $149.80 – $855.65 | 9 |
| Ghs eye exam CPT 92002 | not published | not published | $75.68 – $304.66 | 9 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $271.36 | $512.00 | $191.32 – $1,035.58 | 9 |
| Ghs fat & muscle CPT 89160 | $14.31 | $27.00 | $4.85 – $16.05 | 16 |
| Ghs fb removal foot - deep - left CPT 28192 | $321.71 | $607.00 | $502.79 – $1,887.23 | 6 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $390.81 – $1,878.91 | 6 |
| Ghs fb removal - incisional CPT 10121 | $163.77 | $309.00 | $293.33 – $1,072.31 | 6 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $236.38 – $835.09 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $11.66 | $22.00 | $6.98 – $30.95 | 16 |
| Ghs fish cytogen CPT 88271 | $135.68 | $256.00 | $21.42 – $82.75 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $36.57 | $69.00 | $51.19 – $175.37 | 16 |
| Ghs flow volume loop CPT 94375 | $301.04 | $568.00 | $23.51 – $666.91 | 9 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $33.39 – $666.91 | 9 |
| Ghs hcv amplificaiton CPT 87521 | $167.48 | $316.00 | $35.09 – $152.46 | 16 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $47.17 | $89.00 | $15.19 – $71.89 | 16 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $40.28 | $76.00 | $15.49 – $67.64 | 16 |
| Ghs hgb stability-thal CPT 83068 | $29.68 | $56.00 | $9.47 – $36.68 | 16 |
| Ghs histoplasma antigen CPT 87385 | $96.99 | $183.00 | $13.25 – $52.73 | 16 |
| Ghs HIV antibody CPT 86703 | $110.77 | $209.00 | $13.71 – $59.60 | 16 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $332.18 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $338.66 – $850.38 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $673.49 – $2,144.51 | 6 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $198.22 | $374.00 | $270.20 – $1,506.85 | 9 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $159.00 | $300.00 | $167.30 – $1,506.85 | 9 |
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.