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 |
|---|---|---|---|---|
| Home/res vst est sf mdm 20 CPT 99347 | not published | not published | $73.37 – $144.60 | 6 |
| Home/res vst new high mdm 75 CPT 99345 | not published | not published | $329.29 – $571.98 | 6 |
| Home/res vst new low mdm 30 CPT 99342 | not published | not published | $127.70 – $206.68 | 6 |
| Home/res vst new mod mdm 60 CPT 99344 | not published | not published | $234.26 – $471.96 | 6 |
| Home/res vst new sf mdm 15 CPT 99341 | not published | not published | $80.22 – $143.72 | 6 |
| Home sleep test/type 3 porta HCPCS G0399 | $102.82 | $194.00 | $73.69 – $119.62 | 2 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $146.78 – $334.30 | 6 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $124.53 – $219.24 | 6 |
| Home visit new patient CPT 99343 | not published | not published | $204.14 – $204.14 | 1 |
| Homocysteine CPT 83090 | $147.87 | $279.00 | $17.92 – $73.37 | 16 |
| Homogenization tissue CPT 87176 | $23.85 | $45.00 | $5.88 – $25.23 | 16 |
| Homovanillic acid (hva) CPT 83150 | $74.73 | $141.00 | $22.41 – $74.77 | 16 |
| Hospice care supervision CPT 99377 | not published | not published | $88.16 – $182.32 | 6 |
| Hospice care supervision CPT 99378 | not published | not published | $138.14 – $272.20 | 6 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $480.27 | 16 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $480.27 | 16 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $480.27 | 16 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $480.27 | 16 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $480.27 | 16 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $480.27 | 16 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $480.27 | 16 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $480.27 | 16 |
| Hpv combo assay ca screen HCPCS G0476 | $110.24 | $208.00 | $36.84 – $135.61 | 13 |
| Hpv low-risk types CPT 87623 | $110.24 | $208.00 | $35.09 – $152.46 | 16 |
| Hpv types 16 & 18 only CPT 87625 | $234.79 | $443.00 | $40.55 – $152.46 | 16 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $52.73 | 16 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $293.43 | 16 |
| H pylori (c-13) breath CPT 83013 | $307.40 | $580.00 | $67.36 – $293.43 | 16 |
| H pylori drug admin CPT 83014 | $24.91 | $47.00 | $7.86 – $34.37 | 16 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $713.00 – $6,990.00 | 13 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $460.88 – $6,990.00 | 12 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $2,562.95 | 16 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $2,299.33 | 16 |
| Hsv dna dir probe CPT 87528 | $57.77 | $109.00 | $20.05 – $87.10 | 16 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $873.41 | 13 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $435.57 | 13 |
| Human epididymis protein 4 (he4) CPT 86305 | $65.72 | $124.00 | $20.81 – $90.55 | 16 |
| Human ig IV CPT 90283 | not published | not published | $63.53 – $180.83 | 8 |
| Human ig sc CPT 90284 | not published | not published | $17.53 – $47.73 | 8 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $43.99 | $83.00 | $49.62 – $72.54 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $19.10 | $36.04 | $5.25 – $17.42 | 11 |
| Hydration IV infusion each additional hour CPT 96361 | $232.14 | $438.00 | $20.69 – $98.82 | 10 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $433.54 | $818.00 | $53.21 – $451.22 | 10 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $5.30 | $10.00 | $7.60 – $7.60 | 4 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $28.75 | $54.25 | $20.56 – $53.41 | 9 |
| Hydrocortisone sodium ph inj HCPCS J1710 | $4.24 | $8.00 | $7.62 – $7.62 | 4 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $29.86 | $56.34 | $12.28 – $41.54 | 10 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $54.06 | $102.00 | $17.90 – $76.78 | 16 |
| Hymenotomy CPT 56442 | not published | not published | $75.28 – $185.89 | 6 |
| Hymovis injection 1 mg HCPCS J7322 | $24.91 | $47.00 | $19.15 – $35.12 | 8 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,578.19 – $3,883.40 | 6 |
| Hyperbaric oxygen therapy CPT 99183 | $174.90 | $330.00 | $168.40 – $392.20 | 6 |
| #hypersens-actinomyces ab CPT 86602 | $16.43 | $31.00 | $10.18 – $39.31 | 16 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $155.92 – $1,485.90 | 9 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $117.05 – $563.22 | 9 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $127.75 – $1,238.89 | 9 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $113.95 – $1,238.89 | 9 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $159.44 – $1,238.89 | 9 |
| Hypnotherapy CPT 90880 | not published | not published | $90.05 – $397.68 | 9 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $348.40 – $744.32 | 6 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,714.88 – $4,192.29 | 6 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,573.72 – $3,909.92 | 6 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,683.22 – $4,183.93 | 6 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,457.21 – $3,618.99 | 6 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $416.07 – $1,056.94 | 6 |
| Hysterosalpingography s&i CPT 74740 | $469.58 | $886.00 | $29.92 – $517.79 | 10 |
| Hysteroscopy ablation CPT 58563 | $3,525.56 | $6,652.00 | $386.92 – $7,779.46 | 6 |
| Hysteroscopy biopsy CPT 58558 | $209.35 | $395.00 | $363.80 – $5,534.18 | 6 |
| Hysteroscopy dx sep proc CPT 58555 | $184.44 | $348.00 | $238.34 – $1,281.33 | 6 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $446.66 – $1,199.05 | 6 |
| Hysteroscopy remove fb CPT 58562 | $191.86 | $362.00 | $348.55 – $1,560.83 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $561.56 – $1,919.07 | 6 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $491.10 – $1,352.72 | 6 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,304.12 – $3,220.43 | 6 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $237.48 – $626.53 | 7 |
| I-123 ioflupane diag HCPCS A9584 | $4,482.21 | $8,457.00 | $2,290.23 – $7,677.95 | 7 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $232.67 | $439.00 | $142.03 – $298.14 | 7 |
| I131 iodide cap, rx HCPCS A9517 | $155.82 | $294.00 | $35.21 – $170.56 | 7 |
| Iaadi respiratory synctial virus CPT 87280 | $40.81 | $77.00 | $13.42 – $52.73 | 16 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $152.46 | 16 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $42.40 | $80.00 | $18.09 – $56.62 | 16 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $32.33 | $61.00 | $45.28 – $143.15 | 13 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $113.56 | $214.26 | $35.28 – $89.40 | 11 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,570.99 – $8,202.68 | 8 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $75.45 – $666.91 | 9 |
| Icut allergy test-delayed CPT 95028 | $109.18 | $206.00 | $20.43 – $84.06 | 9 |
| Icut allergy test drug/bug CPT 95024 | $183.91 | $347.00 | $12.80 – $127.20 | 9 |
| Icut allergy titrate-airborn CPT 95027 | $46.11 | $87.00 | $7.87 – $52.45 | 9 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,473.02 – $3,618.99 | 6 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $618.22 – $1,787.19 | 6 |
| I&d/bursa/foot 28001 CPT 28001 | $211.47 | $399.00 | $155.14 – $1,127.71 | 6 |
| Identify sperm tissue CPT 89264 | not published | not published | $52.01 – $114.42 | 9 |
| Idet 1 or more levels CPT 22527 | not published | not published | $243.46 – $7,461.63 | 6 |
| Idet single level CPT 22526 | not published | not published | $527.00 – $8,908.85 | 6 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,125.98 – $2,341.18 | 6 |
| Idh1 common variants CPT 81120 | $283.02 | $534.00 | $193.25 – $615.52 | 16 |
| Idh2 common variants CPT 81121 | $283.02 | $534.00 | $295.79 – $942.20 | 16 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $696.81 – $1,713.47 | 6 |
| I&d lacrimal gland CPT 68400 | not published | not published | $211.14 – $2,074.27 | 9 |
| I&d lacrimal sac CPT 68420 | not published | not published | $267.43 – $1,313.03 | 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.