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 |
|---|---|---|---|---|
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,763.89 – $6,946.79 | 6 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,860.07 – $4,694.30 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,088.92 – $2,716.41 | 6 |
| G-tube reposition CPT 43761 | $488.13 | $921.00 | $162.08 – $520.87 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $64.41 – $4,034.23 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | $866.02 | $1,634.00 | $215.12 – $2,725.21 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,104.18 | $2,083.35 | $555.54 – $803.53 | 4 |
| Guid loc target vol rad tx CPT 77387 | $491.31 | $927.00 | $43.59 – $253.98 | 6 |
| Gum graft CPT 41870 | not published | not published | $488.77 – $1,183.38 | 6 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $683.52 – $2,153.44 | 6 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $122.37 – $1,310.98 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $388.93 – $1,456.12 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $388.93 – $1,994.40 | 9 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $51.30 | $96.80 | $8.80 – $26.78 | 11 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $2.37 | $4.47 | $0.99 – $4.33 | 11 |
| Hand-held pefr meter a4614 HCPCS A4614 | $38.69 | $73.00 | $27.63 – $53.77 | 6 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $7.21 – $17.89 | 8 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,362.77 – $3,192.10 | 6 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,081.76 – $2,510.14 | 6 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,226.13 – $2,850.73 | 6 |
| Hand X-ray CPT 73130 | $163.24 | $308.00 | $13.80 – $188.56 | 10 |
| Haptoglobin quantitative CPT 83010 | $79.50 | $150.00 | $12.58 – $55.01 | 16 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $136.37 – $345.59 | 6 |
| Harvest auto stem cells CPT 38206 | not published | not published | $135.29 – $344.20 | 6 |
| Harvest cultured skin graft 15040 CPT 15040 | $275.07 | $519.00 | $193.60 – $1,026.93 | 6 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $663.49 – $1,641.89 | 6 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $507.37 – $1,314.62 | 6 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $75.67 – $936.30 | 9 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $467.45 – $1,212.08 | 6 |
| Hast w/i&r phys/qhp CPT 94452 | $363.05 | $685.00 | $22.97 – $276.06 | 9 |
| Hast w/oxygen titrate CPT 94453 | $377.36 | $712.00 | $29.97 – $276.06 | 9 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,910.76 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $407.57 | $769.00 | $202.40 – $644.18 | 16 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,194.37 | 16 |
| Hbb full gene sequence CPT 81364 | $558.62 | $1,054.00 | $324.58 – $1,033.89 | 16 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $557.06 | 16 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $644.18 | 16 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,194.37 | 16 |
| Hb glycosylated a1c home dev CPT 83037 | $20.14 | $38.00 | $9.71 – $42.41 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $230.55 | $435.00 | $65.31 – $277.29 | 2 |
| Hc ea ha check monaural CPT 92594 | $31.80 | $60.00 | $34.26 – $74.37 | 6 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $92.02 – $401.74 | 10 |
| Hcg free betachain test CPT 84704 | $54.59 | $103.00 | $15.29 – $65.33 | 16 |
| Hcg qualitative CPT 84703 | $78.97 | $149.00 | $7.52 – $33.23 | 16 |
| Hcg quantitative CPT 84702 | $155.29 | $293.00 | $15.05 – $65.33 | 16 |
| Hc hearing aid chck binaurl CPT 92593 | $54.59 | $103.00 | $59.47 – $129.43 | 6 |
| Hc hearing aid chck monarl CPT 92592 | $33.39 | $63.00 | $35.94 – $78.26 | 6 |
| Hc hearing aid exam both ears CPT 92591 | $101.76 | $192.00 | $114.97 – $251.12 | 6 |
| Hc hearing aid exam one ear CPT 92590 | $83.74 | $158.00 | $90.30 – $197.40 | 6 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $217.23 – $701.18 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $669.92 | $1,264.00 | $569.23 – $2,639.46 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $452.62 | $854.00 | $303.16 – $1,582.89 | 6 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $632.29 | $1,193.00 | $510.31 – $2,473.53 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $61.48 | $116.00 | $80.39 – $309.96 | 6 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $431.42 | $814.00 | $280.77 – $1,513.68 | 6 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $75.79 – $1,152.80 | 10 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $391.17 – $860.57 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $38.44 – $860.57 | 10 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $70.69 – $1,152.80 | 10 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $120.29 – $2,938.37 | 7 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $201.21 – $520.13 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,235.65 | $6,105.00 | $169.06 – $1,485.90 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $918.49 | $1,733.00 | $330.34 – $1,485.90 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,449.02 | $2,734.00 | $465.56 – $1,485.90 | 9 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $91.31 – $563.22 | 9 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $121.69 – $563.22 | 9 |
| Head CT scan (with and without contrast) CPT 70470 | $1,531.70 | $2,890.00 | $99.60 – $401.74 | 10 |
| Head CT scan (with contrast) CPT 70460 | $935.45 | $1,765.00 | $88.62 – $401.74 | 10 |
| Head CT scan (without contrast) CPT 70450 | $852.24 | $1,608.00 | $66.66 – $245.18 | 10 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $6,990.00 | 16 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,706.25 – $6,990.00 | 13 |
| Heart first pass add-on CPT 78496 | not published | not published | $30.28 – $66.03 | 6 |
| Heart first pass multiple CPT 78483 | not published | not published | $113.32 – $1,152.80 | 10 |
| Heart image spect CPT 78494 | not published | not published | $91.72 – $860.57 | 10 |
| Heart infarct image CPT 78466 | not published | not published | $54.16 – $860.57 | 10 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $61.22 – $1,152.80 | 10 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $2,342.19 – $5,961.48 | 6 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $196.03 – $502.70 | 6 |
| Heavy metal qual any number CPT 83015 | $74.73 | $141.00 | $20.94 – $82.54 | 16 |
| Heinz bodies direct CPT 85441 | $11.66 | $22.00 | $4.20 – $18.32 | 16 |
| Heinz bodies induced CPT 85445 | $21.20 | $40.00 | $6.82 – $29.82 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | $48.23 | $91.00 | $13.78 – $56.05 | 16 |
| Hemagglutination inhibition CPT 86280 | $31.27 | $59.00 | $8.19 – $35.54 | 16 |
| Hematocrit CPT 85014 | $25.44 | $48.00 | $2.37 – $10.32 | 16 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $151.76 – $561.65 | 10 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $1,070.74 – $2,578.08 | 6 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,071.66 – $2,623.14 | 6 |
| Hemodialysis access study CPT 90940 | not published | not published | $44.05 – $209.01 | 6 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $116.08 – $1,498.55 | 9 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $165.87 – $380.69 | 6 |
| Hemoglobin CPT 85018 | $25.97 | $49.00 | $2.37 – $10.32 | 16 |
| Hemoglobin copper sulfate CPT 83026 | $13.78 | $26.00 | $4.01 – $12.55 | 16 |
| Hemoglobin fetal qualitative CPT 83033 | $54.06 | $102.00 | $8.00 – $26.36 | 16 |
| Hemoglobin f (fetal) chemical CPT 83030 | $27.03 | $51.00 | $10.74 – $35.54 | 16 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $24.91 | $47.00 | $6.94 – $28.32 | 16 |
| Hemoglobin-oxygen affinity CPT 82820 | $66.78 | $126.00 | $13.34 – $43.55 | 16 |
| Hemoglobin plasma CPT 83051 | $31.27 | $59.00 | $7.31 – $28.26 | 16 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $29.82 | 16 |
| Hemoglobin urine CPT 83069 | $16.43 | $31.00 | $3.95 – $17.19 | 16 |
| Hemolysin acid CPT 85475 | $65.19 | $123.00 | $8.87 – $38.96 | 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.