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 |
|---|---|---|---|---|
| Incision of stomach nerves CPT 64755 | not published | not published | $1,413.16 – $3,541.05 | 6 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $985.56 – $2,431.38 | 6 |
| Incision of tendon sheath CPT 25000 | not published | not published | $562.33 – $1,336.03 | 6 |
| Incision of thigh CPT 27448 | not published | not published | $1,311.50 – $3,206.82 | 6 |
| Incision of thigh CPT 27450 | not published | not published | $1,604.31 – $3,964.37 | 6 |
| Incision of thigh tendon CPT 27306 | not published | not published | $549.00 – $1,374.40 | 6 |
| Incision of thigh tendon CPT 27390 | not published | not published | $722.48 – $1,754.84 | 6 |
| Incision of thigh tendons CPT 27307 | not published | not published | $667.88 – $1,876.90 | 6 |
| Incision of thigh tendons CPT 27391 | not published | not published | $927.26 – $2,213.63 | 6 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,134.95 – $2,782.51 | 6 |
| Incision of tibia CPT 27705 | not published | not published | $1,199.23 – $2,970.20 | 6 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,791.85 – $4,557.48 | 6 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $453.02 – $1,271.62 | 6 |
| Incision of tongue fold CPT 41010 | $241.68 | $456.00 | $178.67 – $832.79 | 6 |
| Incision of tongue nerve CPT 64740 | not published | not published | $749.16 – $1,889.73 | 6 |
| Incision of urethra CPT 53000 | not published | not published | $237.08 – $592.12 | 6 |
| Incision of urethra CPT 53010 | not published | not published | $475.56 – $1,178.42 | 6 |
| Incision of urethra CPT 53020 | not published | not published | $152.47 – $387.04 | 6 |
| Incision of urethra CPT 53025 | not published | not published | $108.68 – $271.22 | 6 |
| Incision of vagus nerve CPT 64760 | not published | not published | $808.55 – $1,994.77 | 6 |
| Incision of windpipe CPT 31601 | not published | not published | $713.35 – $1,773.50 | 6 |
| Incision of windpipe CPT 31610 | not published | not published | $1,548.24 – $3,757.94 | 6 |
| Incision of wrist capsule CPT 25085 | not published | not published | $722.81 – $1,762.63 | 6 |
| Incision secondary cataract CPT 66820 | not published | not published | $766.75 – $1,712.78 | 6 |
| Incision tendon sheath CPT 26055 | $555.97 | $1,049.00 | $472.60 – $2,164.88 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $338.16 – $936.77 | 6 |
| Incisn windpipe CPT 31600 | not published | not published | $473.01 – $1,399.82 | 6 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $873.27 – $2,213.92 | 6 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $3,652.04 – $9,130.54 | 6 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $3,709.38 – $9,276.33 | 6 |
| Incobotulinumtoxin a HCPCS J0588 | $5.30 | $10.00 | $5.91 – $8.76 | 6 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $126.87 – $319.84 | 6 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $758.54 – $1,874.85 | 6 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $881.84 – $2,191.53 | 6 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $650.50 – $1,600.72 | 6 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $660.74 – $1,584.12 | 6 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $908.82 – $2,178.74 | 6 |
| Induced abortion d&c CPT 59840 | not published | not published | $342.92 – $905.28 | 6 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $569.69 – $1,550.66 | 6 |
| Induction of vomiting CPT 99175 | not published | not published | $48.89 – $87.88 | 6 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $154.44 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,373.76 | $2,592.00 | $130.35 – $568.53 | 16 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $40.28 | $76.00 | $15.00 – $52.73 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | $22.26 | $42.00 | $14.13 – $52.73 | 16 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $1,122.15 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $1,122.15 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $539.54 | $1,018.00 | $128.73 – $560.49 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,504.14 | $2,838.00 | $257.45 – $1,122.15 | 16 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $63.07 | $119.00 | $32.77 – $105.46 | 16 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $38.69 | $73.00 | $24.68 – $110.45 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $98.58 | $186.00 | $14.00 – $52.73 | 16 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $47.70 | $90.00 | $11.98 – $52.73 | 16 |
| Infect ag if hep delta agent CPT 87380 | $21.20 | $40.00 | $18.36 – $71.05 | 16 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $52.73 | 16 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $52.73 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | $127.20 | $240.00 | $15.60 – $52.73 | 16 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $52.73 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $52.73 | 16 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $52.73 | 16 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $100.70 | $190.00 | $53.47 – $167.34 | 16 |
| Infect ag na hep b amp CPT 87516 | $114.48 | $216.00 | $35.09 – $152.46 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $186.83 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $226.31 | $427.00 | $35.09 – $152.46 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $346.62 | $654.00 | $95.80 – $371.38 | 16 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $177.02 | $334.00 | $51.31 – $223.51 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $51.31 – $163.08 | 11 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,521.21 | $4,757.00 | $416.78 – $1,816.77 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $3,395.71 | $6,407.00 | $488.66 – $2,129.70 | 16 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $216.24 | $408.00 | $26.07 – $113.46 | 16 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $131.02 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $102.29 | $193.00 | $11.98 – $52.73 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $52.73 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $91.16 | $172.00 | $13.82 – $52.73 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $84.27 | $159.00 | $11.98 – $52.73 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $152.64 | $288.00 | $14.38 – $63.05 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $85.33 | $161.00 | $10.33 – $44.69 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $60.95 | $115.00 | $10.33 – $44.69 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $156.35 | $295.00 | $24.08 – $105.46 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $545.90 | $1,030.00 | $11.98 – $52.73 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $98.58 | $186.00 | $11.98 – $52.73 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $81.62 | $154.00 | $11.98 – $52.73 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $230.02 | $434.00 | $35.09 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $198.75 | $375.00 | $35.09 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $191.33 | $361.00 | $37.27 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,571.45 | $2,965.00 | $416.78 – $2,467.81 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $222.07 | $419.00 | $35.09 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $230.02 | $434.00 | $35.09 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $192.39 | $363.00 | $41.68 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $198.75 | $375.00 | $35.09 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $109.18 | $206.00 | $48.23 – $161.87 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $222.60 | $420.00 | $142.63 – $450.37 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $142.63 – $450.37 | 12 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $206.17 | $389.00 | $35.09 – $152.46 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $219.95 | $415.00 | $35.09 – $152.46 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $168.89 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,312.81 | $2,477.00 | $416.78 – $1,816.77 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $226.31 | $427.00 | $128.29 – $559.35 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $672.57 | $1,269.00 | $262.99 – $929.59 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $39.75 | $75.00 | $42.84 – $186.83 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $279.31 | $527.00 | $42.84 – $186.83 | 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.