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 |
|---|---|---|---|---|
| Ghs immun0electrophoresis CPT 86320 | $31.80 | $60.00 | $25.36 – $65.82 | 16 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $180.73 | $341.00 | $174.34 – $761.00 | 9 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $181.79 | $343.00 | $188.99 – $834.76 | 9 |
| Ghs inf midline insertion CPT 36140 | $2,790.98 | $5,266.00 | $134.54 – $1,898.96 | 6 |
| Ghs inhibitor screen CPT 85335 | $105.47 | $199.00 | $12.87 – $56.18 | 16 |
| Ghs init tx 1st degree burn CPT 16000 | $46.64 | $88.00 | $71.86 – $425.55 | 9 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $283.73 – $1,906.70 | 9 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $166.42 | $314.00 | $190.28 – $1,906.70 | 9 |
| Ghs inj tendon origin/insertion CPT 20551 | $54.59 | $103.00 | $61.98 – $632.19 | 9 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $288.32 | $544.00 | $98.12 – $504.83 | 6 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $510.92 | $964.00 | $209.24 – $1,906.70 | 9 |
| Ghs insertion of needle - bone CPT 36680 | $551.73 | $1,041.00 | $91.72 – $854.61 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $283.02 | $534.00 | $379.58 – $1,517.74 | 9 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $279.84 | $528.00 | $440.03 – $1,686.78 | 9 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $292.03 | $551.00 | $510.44 – $1,910.40 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $218.36 | $412.00 | $14.57 – $111.36 | 6 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $690.59 | $1,303.00 | $209.05 – $838.16 | 9 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $30.23 – $98.82 | 9 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $663.03 | $1,251.00 | $322.89 – $3,423.98 | 9 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $221.01 | $417.00 | $244.39 – $1,102.86 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $178.61 | $337.00 | $243.42 – $997.78 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $175.96 | $332.00 | $232.41 – $1,000.44 | 9 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $187.62 | $354.00 | $271.54 – $1,077.07 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $196.10 | $370.00 | $319.97 – $1,209.42 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $196.63 | $371.00 | $314.09 – $1,191.50 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $257.05 | $485.00 | $344.37 – $1,412.57 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $214.12 | $404.00 | $327.74 – $1,281.87 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $277.19 | $523.00 | $340.60 – $1,469.85 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $269.77 | $509.00 | $348.21 – $1,481.62 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $434.47 – $1,602.03 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $316.41 | $597.00 | $388.93 – $1,915.32 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $322.77 | $609.00 | $492.18 – $1,908.88 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $350.33 | $661.00 | $388.93 – $2,249.14 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $330.72 | $624.00 | $545.84 – $2,091.78 | 6 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $388.93 – $2,386.98 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $34.98 | $66.00 | $8.60 – $37.82 | 16 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $39.63 – $39.63 | 1 |
| Ghs mbp CPT 83873 | $122.96 | $232.00 | $17.20 – $74.50 | 16 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $230.55 | $435.00 | $39.37 – $265.33 | 6 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $219.95 | $415.00 | $131.68 – $303.29 | 6 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $230.55 | $435.00 | $120.75 – $280.02 | 6 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $230.55 | $435.00 | $17.32 – $37.19 | 6 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $230.55 | $435.00 | $99.72 – $230.33 | 6 |
| Ghs musc test done w/n test comp CPT 95886 | $102.29 | $193.00 | $73.80 – $169.35 | 6 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $95.40 | $180.00 | $29.65 – $68.71 | 6 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $115.54 | $218.00 | $60.23 – $139.19 | 6 |
| Ghs myocardial strain img spckl track CPT 93356 | $1,085.44 | $2,048.00 | $60.71 – $143.15 | 6 |
| Ghs nailbed repair/nail removal CPT 11760 | $174.90 | $330.00 | $177.79 – $1,310.98 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,236.60 | $4,220.00 | $39.37 – $1,906.70 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,603.78 | $3,026.00 | $94.13 – $1,483.13 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $101.71 – $1,906.70 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | $127.73 | $241.00 | $112.11 – $1,906.70 | 9 |
| Ghs nerve block celiac plexus CPT 64530 | $233.73 | $441.00 | $151.56 – $1,906.70 | 9 |
| Ghs nerve block interscaline CPT 64510 | $232.14 | $438.00 | $123.71 – $1,906.70 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $442.55 | $835.00 | $135.76 – $1,906.70 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $116.53 – $1,483.13 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $203.52 | $384.00 | $89.08 – $1,483.13 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $892.52 | $1,684.00 | $63.80 – $854.61 | 9 |
| Ghs o2 saturation CPT 82810 | $72.08 | $136.00 | $9.77 – $37.82 | 16 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $20.26 – $335.08 | 9 |
| Ghs o2 uptake rest & indirect CPT 94690 | $100.17 | $189.00 | $5.85 – $127.20 | 9 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $44.92 – $98.82 | 3 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,909.59 | $3,603.00 | $53.01 – $1,324.09 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | $410.75 | $775.00 | $285.09 – $1,363.73 | 6 |
| Ghs optokenetic CPT 92544 | $44.52 | $84.00 | $5.66 – $335.08 | 9 |
| Ghs oscillating trac CPT 92545 | $41.87 | $79.00 | $5.66 – $666.91 | 9 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $24.63 – $113.41 | 9 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $24.63 – $164.13 | 9 |
| Ghs ot dds rom CPT 95851 | not published | not published | $12.68 – $78.81 | 9 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $21.17 – $85.62 | 7 |
| Ghs ot prosthetic training/15 min CPT 97761 | $120.31 | $227.00 | $39.19 – $106.49 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $68.90 | $130.00 | $58.35 – $128.37 | 9 |
| Ghs ot work hardening-additional hours CPT 97546 | $160.59 | $303.00 | $77.97 – $170.25 | 6 |
| Ghs pacing - transcutaneous CPT 92953 | $1,061.06 | $2,002.00 | $1.31 – $1,401.47 | 9 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $84.80 | $160.00 | $96.36 – $383.31 | 6 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $82.68 | $156.00 | $82.94 – $354.45 | 6 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $28.15 – $105.63 | 12 |
| Ghs peritonsillar abscess i andd CPT 42700 | $131.97 | $249.00 | $219.49 – $756.12 | 9 |
| Ghs phenylketonurid CPT 84030 | $36.04 | $68.00 | $5.50 – $24.09 | 16 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $145.23 – $1,066.60 | 6 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $233.52 – $1,335.99 | 9 |
| Ghs plt ct-manual CPT 85032 | $31.27 | $59.00 | $4.31 – $18.32 | 16 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,011.99 | $5,683.00 | $202.67 – $2,178.90 | 9 |
| Ghs pos nystagmus CPT 92542 | $43.46 | $82.00 | $6.75 – $276.06 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $19.19 | $36.20 | $8.14 – $52.45 | 12 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $79.50 | $150.00 | $9.66 – $42.41 | 16 |
| Ghs protein, misc fluid CPT 84160 | $27.03 | $51.00 | $5.61 – $20.00 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $122.43 | $231.00 | $14.35 – $63.05 | 16 |
| Ghs pr without cont pulse ox CPT 94625 | $262.88 | $496.00 | $57.82 – $240.32 | 9 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $91.69 | $173.00 | $12.25 – $53.87 | 16 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $336.02 | $634.00 | $194.98 – $425.73 | 6 |
| Ghs quinidine CPT 80194 | $114.48 | $216.00 | $14.60 – $64.19 | 16 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $145.20 – $710.36 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | $236.91 | $447.00 | $125.48 – $754.44 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $202.15 – $854.61 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $985.93 – $2,281.57 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $796.93 – $1,934.30 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $42.40 | $80.00 | $13.78 – $49.79 | 16 |
| Ghs reticulocyte count CPT 85044 | $24.38 | $46.00 | $4.31 – $18.32 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $113.95 | $215.00 | $13.91 – $52.73 | 16 |
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.