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 |
|---|---|---|---|---|
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,860.41 | $5,397.00 | $296.08 – $2,623.61 | 7 |
| In-111 pentetreotide HCPCS A9572 | $5,980.52 | $11,284.00 | $3,159.11 – $10,238.30 | 5 |
| Inactivated je vacc im CPT 90738 | $232.14 | $438.00 | $212.29 – $982.44 | 9 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $705.01 – $1,729.30 | 6 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $939.78 – $2,286.00 | 6 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $825.06 – $2,002.89 | 6 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,728.24 – $6,770.86 | 6 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,326.81 – $5,731.51 | 6 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,326.91 – $5,717.61 | 6 |
| Incis addl spine segment CPT 22216 | not published | not published | $543.95 – $1,378.99 | 6 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,947.88 – $4,896.38 | 6 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $665.72 – $1,658.57 | 6 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $178.30 – $2,074.27 | 9 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $562.46 – $1,354.72 | 6 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $737.36 – $1,633.48 | 6 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $800.07 – $1,974.40 | 6 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $985.93 – $2,434.83 | 6 |
| Incise inner ear CPT 69801 | $384.78 | $726.00 | $198.36 – $839.11 | 6 |
| Incise inner ear nerve CPT 69915 | not published | not published | $2,419.47 – $5,956.03 | 6 |
| Incise inner ear nerve CPT 69950 | not published | not published | $2,801.33 – $6,912.56 | 6 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $399.42 – $1,233.53 | 9 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $772.70 – $1,892.31 | 6 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $960.14 – $2,360.53 | 6 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $1,024.28 – $2,515.39 | 6 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $1,075.67 – $2,646.88 | 6 |
| Incise inner eye strands CPT 67030 | not published | not published | $902.67 – $2,163.12 | 6 |
| Incise nerve back of head CPT 64744 | not published | not published | $772.63 – $1,853.57 | 6 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $416.21 – $1,019.79 | 6 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,897.08 – $4,677.28 | 6 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $2,375.05 – $5,857.47 | 6 |
| Incise skull for treatment CPT 61770 | not published | not published | $2,405.33 – $5,960.01 | 6 |
| Incise skull repair CPT 62121 | not published | not published | $2,428.43 – $6,015.93 | 6 |
| Incise skull/sutures CPT 61556 | not published | not published | $2,539.77 – $6,273.70 | 6 |
| Incise skull/sutures CPT 61557 | not published | not published | $2,514.76 – $6,194.57 | 6 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $674.42 – $1,685.72 | 6 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $2,373.93 – $5,860.13 | 6 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $2,064.57 – $5,080.68 | 6 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,945.77 – $4,854.03 | 6 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,760.86 – $4,363.75 | 6 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $161.36 – $640.20 | 9 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $1,195.32 – $3,017.68 | 6 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $775.23 – $1,882.02 | 6 |
| Incise & treat bladder CPT 51030 | not published | not published | $755.89 – $1,887.52 | 5 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $703.78 – $1,713.72 | 6 |
| Incision anal septum infant CPT 46070 | not published | not published | $430.24 – $1,034.06 | 6 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,056.93 | $3,881.00 | $189.31 – $672.56 | 6 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $1,491.17 – $3,656.54 | 6 |
| Incision/fixation of femur CPT 27165 | not published | not published | $2,161.57 – $5,357.63 | 6 |
| Incision of achilles tendon CPT 27605 | $318.53 | $601.00 | $297.33 – $1,374.53 | 6 |
| Incision of achilles tendon CPT 27606 | not published | not published | $432.43 – $1,094.13 | 6 |
| Incision of anal sphincter CPT 46080 | $404.92 | $764.00 | $248.35 – $1,058.58 | 6 |
| Incision of ankle bone CPT 28302 | not published | not published | $1,137.81 – $2,795.54 | 6 |
| Incision of bile duct CPT 47425 | not published | not published | $2,095.81 – $5,270.63 | 6 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $2,046.34 – $5,176.13 | 6 |
| Incision of brain tissue CPT 61541 | not published | not published | $3,183.15 – $7,890.41 | 6 |
| Incision of brain tissue CPT 61567 | not published | not published | $3,771.40 – $9,383.51 | 6 |
| Incision of breast lesion CPT 19020 | $344.50 | $650.00 | $493.95 – $1,850.41 | 6 |
| Incision of brow nerve CPT 64732 | not published | not published | $696.61 – $1,661.69 | 6 |
| Incision of burn scab initi CPT 16035 | not published | not published | $306.22 – $855.65 | 9 |
| Incision of cheek nerve CPT 64734 | not published | not published | $786.39 – $1,877.02 | 6 |
| Incision of chin nerve CPT 64736 | not published | not published | $538.00 – $1,408.54 | 6 |
| Incision of eardrum CPT 69420 | $163.77 | $309.00 | $195.13 – $738.41 | 9 |
| Incision of eardrum CPT 69421 | not published | not published | $246.62 – $581.42 | 6 |
| Incision of esophagus CPT 43020 | not published | not published | $876.59 – $2,163.08 | 6 |
| Incision of eye CPT 65850 | not published | not published | $1,360.00 – $3,357.53 | 6 |
| Incision of eye CPT 66172 | not published | not published | $1,923.92 – $4,743.04 | 6 |
| Incision of eyelid CPT 67710 | not published | not published | $158.13 – $2,074.27 | 9 |
| Incision of facial nerve CPT 64742 | not published | not published | $802.08 – $1,977.31 | 6 |
| Incision of fibula CPT 27707 | not published | not published | $653.04 – $1,570.67 | 6 |
| Incision of finger tendon CPT 26455 | not published | not published | $757.57 – $1,672.31 | 6 |
| Incision of foot fascia CPT 28008 | $281.43 | $531.00 | $478.70 – $1,750.95 | 6 |
| Incision of foot tendon 28234 CPT 28234 | $295.74 | $558.00 | $435.74 – $1,652.63 | 6 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,360.46 – $3,409.97 | 6 |
| Incision of heel bone CPT 28300 | not published | not published | $1,039.35 – $2,571.36 | 6 |
| Incision of hip bone CPT 27146 | not published | not published | $1,989.63 – $4,980.15 | 6 |
| Incision of hip bones CPT 27151 | not published | not published | $2,476.20 – $6,180.14 | 6 |
| Incision of hip tendon CPT 27000 | not published | not published | $641.99 – $1,617.08 | 6 |
| Incision of hip tendon CPT 27001 | not published | not published | $862.61 – $2,115.52 | 6 |
| Incision of hip tendon CPT 27003 | not published | not published | $956.64 – $2,334.58 | 6 |
| Incision of hip tendons CPT 27006 | not published | not published | $1,143.32 – $2,831.79 | 6 |
| Incision of iris CPT 66500 | not published | not published | $642.36 – $1,485.76 | 6 |
| Incision of iris CPT 66505 | not published | not published | $697.48 – $1,621.22 | 6 |
| Incision of jaw joint CPT 21010 | not published | not published | $1,205.18 – $3,006.33 | 6 |
| Incision of jaw nerve CPT 64738 | not published | not published | $731.68 – $1,819.66 | 6 |
| Incision of knee joint CPT 27435 | not published | not published | $1,288.65 – $3,161.02 | 6 |
| Incision of liver duct CPT 47400 | not published | not published | $3,278.45 – $8,287.21 | 6 |
| Incision of lymph channels CPT 38308 | not published | not published | $726.27 – $1,761.57 | 6 |
| Incision of metatarsal CPT 28306 | $430.89 | $813.00 | $652.00 – $2,430.73 | 6 |
| Incision of metatarsal CPT 28307 | not published | not published | $825.40 – $2,500.43 | 6 |
| Incision of metatarsal CPT 28308 | $381.60 | $720.00 | $623.53 – $2,290.96 | 6 |
| Incision of metatarsals CPT 28309 | not published | not published | $1,434.38 – $3,501.07 | 6 |
| Incision of midfoot bones CPT 28304 | not published | not published | $984.83 – $3,270.37 | 6 |
| Incision of neck of femur CPT 27161 | not published | not published | $1,919.20 – $4,757.80 | 6 |
| Incision of palm tendon CPT 26450 | not published | not published | $762.04 – $1,685.18 | 6 |
| Incision of prostate CPT 52450 | not published | not published | $756.91 – $1,884.44 | 6 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $1,069.05 – $2,654.63 | 6 |
| Incision of rectal abscess CPT 46060 | not published | not published | $776.70 – $1,894.65 | 6 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,330.79 – $3,348.47 | 6 |
| Incision of sperm duct CPT 55200 | $413.93 | $781.00 | $443.36 – $1,641.64 | 6 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $888.32 – $2,204.65 | 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.