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 |
|---|---|---|---|---|
| Inj., guselkumab, 1 mg HCPCS J1628 | $67.42 | $127.21 | $119.63 – $121.31 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,173.00 | $4,100.00 | $71.09 – $487.11 | 6 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $79.83 – $18,652.00 | 6 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $82.65 – $18,652.00 | 6 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $40.27 – $18,652.00 | 6 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $3,024.71 | $5,707.00 | $40.46 – $542.32 | 6 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $11.13 | $21.00 | $18.27 – $18.27 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $444.14 | $838.00 | $228.70 – $1,906.70 | 9 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $69.96 | $132.00 | $48.01 – $425.55 | 9 |
| Inj intralesional > 7 lsns CPT 11901 | $47.17 | $89.00 | $73.25 – $425.55 | 9 |
| Inj ivig privigen 500 mg HCPCS J1459 | $135.29 | $255.27 | $54.70 – $147.28 | 10 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.24 | $0.45 | $0.01 – $0.05 | 4 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $489.54 – $489.54 | 1 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $10.60 | $20.00 | $11.35 – $17.57 | 9 |
| Inj naloxone hydrochloride HCPCS J2310 | $37.69 | $71.12 | $11.31 – $28.82 | 11 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,214.87 | $4,179.00 | $104.77 – $1,429.49 | 9 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $233.12 – $6,664.55 | 6 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,803.06 | $3,402.00 | $181.10 – $6,006.13 | 6 |
| Inj ogivri 10 mg HCPCS Q5114 | $91.01 | $171.72 | $48.99 – $135.51 | 10 |
| Inj, olaratumab, 10 mg HCPCS J9285 | $59.36 | $112.00 | $76.62 – $97.25 | 5 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $61.47 – $165.11 | 6 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $81.00 – $799.79 | 6 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $106.45 – $716.31 | 6 |
| Inj proc for lymphang CPT 38790 | not published | not published | $129.37 – $323.49 | 6 |
| Inj proc lumbr disk ea lvl CPT 62290 | $584.59 | $1,103.00 | $253.23 – $1,412.12 | 6 |
| Inj proc myelogram lumbar CPT 62284 | $669.92 | $1,264.00 | $134.11 – $789.70 | 6 |
| Inj proc sialogram CPT 42550 | $613.21 | $1,157.00 | $99.18 – $615.66 | 6 |
| Inj progesterone per 50 mg HCPCS J2675 | $1.59 | $3.00 | $0.95 – $2.96 | 11 |
| Inj protirelin per 250 mcg HCPCS J2725 | $16.43 | $31.00 | $26.72 – $26.72 | 4 |
| Inj retro urethrocysto CPT 51610 | $890.40 | $1,680.00 | $102.07 – $479.37 | 6 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $13.78 | $26.00 | $14.35 – $25.99 | 8 |
| Inj scleros sol mult veins CPT 36471 | $1,201.51 | $2,267.00 | $115.74 – $855.65 | 9 |
| Inj scleros sol sgl vein CPT 36470 | $610.03 | $1,151.00 | $58.33 – $855.65 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $474.88 | $896.00 | $244.48 – $855.65 | 4 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $498.64 | $940.82 | $370.16 – $705.13 | 8 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.53 | $1.00 | $0.05 – $0.15 | 10 |
| Inj testosterone cypionate HCPCS J1071 | $0.15 | $0.29 | $0.04 – $0.09 | 11 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $598.76 – $598.76 | 1 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $518.36 – $518.36 | 1 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $148.40 | $280.00 | $158.05 – $267.10 | 8 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $20.14 | $38.00 | $19.50 – $36.01 | 8 |
| Inj w/fluor eval cv device CPT 36598 | $1,121.48 | $2,116.00 | $57.03 – $481.22 | 9 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $5,895.74 – $14,755.12 | 6 |
| Inpatient consultation CPT 99251 | not published | not published | $78.13 – $78.13 | 1 |
| Ins cath ren art 1st bi CPT 36252 | $14,166.37 | $26,729.00 | $535.45 – $5,930.53 | 6 |
| Ins cath ren art 1st uni CPT 36251 | $4,059.80 | $7,660.00 | $391.08 – $5,540.90 | 6 |
| Ins cath ren art 2nd+ bi CPT 36254 | $15,499.32 | $29,244.00 | $624.51 – $8,567.20 | 6 |
| Ins cath ren art 2nd+ uni CPT 36253 | $11,717.77 | $22,109.00 | $552.67 – $8,822.71 | 6 |
| Ins cerv dilator (sep proc) CPT 59200 | $67.84 | $128.00 | $66.45 – $651.46 | 9 |
| Ins device for right guide open CPT 49412 | not published | not published | $123.76 – $315.41 | 6 |
| Insemination of oocytes CPT 89268 | not published | not published | $82.47 – $367.00 | 9 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $1,203.17 – $2,805.10 | 6 |
| Insert and remove bone pin CPT 20650 | not published | not published | $261.90 – $841.28 | 6 |
| Insert ant drainage device CPT 66183 | not published | not published | $1,658.18 – $4,098.69 | 6 |
| Insert balloon device CPT 33973 | not published | not published | $748.15 – $1,964.97 | 6 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $789.05 – $1,893.87 | 6 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $201.01 – $513.39 | 6 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $190.66 – $488.06 | 6 |
| Insert cath pleura with image CPT 32557 | $1,537.00 | $2,900.00 | $1,818.15 – $2,462.87 | 5 |
| Insert cath pleura without image CPT 32556 | $1,438.42 | $2,714.00 | $1,902.49 – $2,667.91 | 5 |
| Insert drug delivery implant CPT 11981 | $111.30 | $210.00 | $97.75 – $490.98 | 9 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $785.07 – $1,803.94 | 6 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $1,220.38 – $3,086.89 | 6 |
| Insert epicardial lead open 33202 CPT 33202 | $14,844.24 | $28,008.00 | $1,168.22 – $2,949.87 | 6 |
| Insert eye socket implant CPT 67550 | not published | not published | $1,768.26 – $4,075.69 | 6 |
| Insert hepatic shunt (tips) CPT 37182 | $26,165.57 | $49,369.00 | $1,286.02 – $3,326.21 | 6 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $812.68 – $1,923.68 | 6 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $497.73 – $1,259.85 | 6 |
| Insert intracorporeal device CPT 33979 | not published | not published | $2,894.88 – $7,428.18 | 6 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $81.34 – $364.37 | 6 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $188.09 – $466.74 | 6 |
| Insertion catheter bladder non indwelling CPT 51701 | $193.98 | $366.00 | $39.92 – $276.06 | 9 |
| Insertion catheter bladder temporary simple CPT 51702 | $227.37 | $429.00 | $39.75 – $276.06 | 9 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $8,427.53 | $15,901.00 | $2,750.95 – $3,132.85 | 5 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $9,080.49 | $17,133.00 | $387.21 – $993.68 | 6 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $529.60 – $1,353.82 | 6 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $16,954.70 | $31,990.00 | $342.94 – $9,533.65 | 6 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,425.28 | $4,576.00 | $132.70 – $846.57 | 6 |
| Insertion of cannula CPT 36810 | not published | not published | $334.42 – $840.54 | 6 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $2,144.96 – $5,373.21 | 6 |
| Insertion of catheter vein CPT 36481 | $8,073.49 | $15,233.00 | $514.56 – $7,662.65 | 6 |
| Insertion of catheter vein CPT 36500 | $2,728.97 | $5,149.00 | $276.90 – $713.65 | 6 |
| Insertion of heart electrode 33211 CPT 33211 | $12,333.63 | $23,271.00 | $254.68 – $652.39 | 6 |
| Insertion of infusion pump CPT 36260 | not published | not published | $1,012.54 – $2,510.31 | 6 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $10,501.95 | $19,815.00 | $793.36 – $2,013.51 | 6 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $12,813.28 | $24,176.00 | $732.94 – $1,853.94 | 6 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $5,002.14 | $9,438.00 | $703.43 – $1,807.98 | 6 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $262.53 – $912.37 | 6 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,933.97 | $3,649.00 | $146.46 – $883.21 | 6 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,397.83 | $6,411.00 | $133.48 – $1,593.18 | 6 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $32,717.43 | $61,731.00 | $1,399.36 – $3,545.35 | 6 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $7,200.05 | $13,585.00 | $244.75 – $631.07 | 6 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $6,800.96 | $12,832.00 | $574.04 – $1,441.60 | 6 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $10,313.27 | $19,459.00 | $133.33 – $20,054.58 | 6 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $5,534.79 | $10,443.00 | $519.11 – $4,255.72 | 6 |
| Insertion ureth cath CPT 51045 | not published | not published | $789.58 – $1,965.54 | 6 |
| Insert lens prosthesis CPT 66985 | not published | not published | $1,238.67 – $3,058.48 | 6 |
| Insert major vessel graft CPT 33330 | not published | not published | $2,149.80 – $5,450.62 | 6 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $2,811.36 – $7,149.50 | 6 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $1,283.70 – $3,236.29 | 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.