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 |
|---|---|---|---|---|
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $884.87 – $2,257.30 | 6 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $542.30 – $1,674.73 | 6 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $617.87 – $1,895.55 | 6 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $882.61 – $2,251.47 | 6 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $950.76 – $2,426.63 | 6 |
| Kidney function study CPT 78725 | not published | not published | $29.19 – $860.57 | 10 |
| Kidney imaging morphology CPT 78700 | not published | not published | $34.49 – $860.57 | 10 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $108.03 – $1,152.80 | 10 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,488.24 | $2,808.00 | $73.00 – $1,152.80 | 10 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $549.61 | $1,037.00 | $57.58 – $245.18 | 10 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $83.21 | $157.00 | $42.77 – $83.25 | 6 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $390.80 | 16 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $988.69 – $2,428.23 | 6 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $823.02 – $2,009.49 | 6 |
| Knee arthroscopy dx CPT 29870 | $385.31 | $727.00 | $651.83 – $2,254.88 | 6 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $864.13 – $2,117.45 | 6 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $993.16 – $2,435.03 | 6 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,467.81 – $3,630.10 | 6 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $860.78 – $2,073.90 | 6 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $854.91 – $2,103.22 | 6 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $792.78 – $1,942.13 | 6 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,037.56 – $2,556.15 | 6 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,051.23 – $2,587.06 | 6 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $896.34 – $2,197.44 | 6 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,095.48 – $2,707.35 | 6 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,335.71 – $3,285.78 | 6 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $986.25 – $2,419.62 | 6 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,012.57 – $2,484.93 | 6 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,195.75 – $2,934.04 | 6 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,542.14 – $3,832.27 | 6 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,931.34 – $4,770.97 | 6 |
| Knee MRI (with and without contrast) CPT 73723 | $6,520.06 | $12,302.00 | $168.54 – $828.27 | 10 |
| Knee MRI (with contrast) CPT 73722 | $2,370.69 | $4,473.00 | $127.60 – $1,692.04 | 10 |
| Knee MRI (without contrast) CPT 73721 | $3,579.09 | $6,753.00 | $106.40 – $517.79 | 10 |
| Knee X-ray CPT 73564 | $199.28 | $376.00 | $18.33 – $245.18 | 10 |
| Ko elastic w/joints pre ots HCPCS L1812 | $162.18 | $306.00 | $103.13 – $149.16 | 4 |
| Kras gene addl variants CPT 81276 | $1,774.97 | $3,349.00 | $193.25 – $604.81 | 16 |
| Kras gene variants exon 2 CPT 81275 | $2,457.08 | $4,636.00 | $193.25 – $630.44 | 16 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,786.62 | $3,370.98 | $1,548.94 – $2,290.45 | 5 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $3,352.32 – $8,426.03 | 6 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $3,860.70 – $9,694.16 | 6 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $30.28 – $106.81 | 6 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $24.24 – $93.15 | 6 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $10.20 | $19.24 | $0.31 – $0.84 | 10 |
| Labioplasty 56800 CPT 56800 | not published | not published | $404.53 – $980.80 | 6 |
| Lab pathology consultation CPT 80500 | not published | not published | $24.95 – $36.26 | 8 |
| Lab pathology consultation CPT 80502 | not published | not published | $16.15 – $120.53 | 8 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $0.66 | $1.25 | $0.61 – $0.95 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $55.65 | $105.00 | $6.04 – $26.36 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $2.65 | $5.00 | $2.42 – $4.91 | 10 |
| Lactic acid CPT 83605 | $71.55 | $135.00 | $11.57 – $47.00 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $100.70 | $190.00 | $19.70 – $85.96 | 16 |
| Lactoferrin fecal quant CPT 83631 | $42.40 | $80.00 | $19.63 – $85.96 | 16 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $384.73 – $982.40 | 6 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,947.98 – $4,816.84 | 6 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,691.57 – $4,177.00 | 6 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,869.98 – $4,625.70 | 6 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $341.44 – $736.32 | 6 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,947.29 – $7,284.14 | 6 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $3,116.47 – $7,711.49 | 6 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $2,575.69 – $6,389.15 | 6 |
| Laminotomy single cervical CPT 63040 | not published | not published | $2,106.01 – $5,256.98 | 6 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,984.90 – $4,929.59 | 6 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $539.17 – $2,107.89 | 6 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $2,544.66 – $6,289.52 | 6 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $130.33 | $245.90 | $64.96 – $165.25 | 11 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $1,923.70 – $4,813.24 | 6 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $1,450.92 – $3,666.55 | 6 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $1,845.79 – $4,660.47 | 6 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,400.19 – $3,487.46 | 6 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,719.09 – $4,298.69 | 6 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,108.20 – $2,765.74 | 6 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $1,193.01 – $2,987.22 | 6 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $988.50 – $2,483.12 | 6 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $686.27 – $1,715.28 | 6 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,763.72 – $4,427.02 | 6 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $2,184.45 – $5,540.08 | 6 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $2,010.10 – $5,091.63 | 6 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,367.23 – $5,963.16 | 6 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $2,354.40 – $5,951.77 | 6 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $2,105.94 – $5,345.95 | 6 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $2,498.49 – $6,229.83 | 6 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $2,117.21 – $5,377.27 | 6 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,427.18 – $3,548.06 | 6 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,897.76 – $4,794.66 | 6 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,777.25 – $4,466.38 | 6 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $1,257.42 – $3,152.57 | 6 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,838.62 – $4,632.80 | 6 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $582.08 – $1,449.23 | 6 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $535.94 – $1,338.61 | 6 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,129.06 – $2,806.74 | 6 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,649.87 – $4,159.04 | 6 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $897.75 – $2,226.30 | 6 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $1,049.72 – $2,646.96 | 6 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,428.99 – $3,594.63 | 6 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $811.39 – $2,009.16 | 6 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,073.43 – $2,663.03 | 6 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $1,041.57 – $2,625.39 | 6 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $1,199.20 – $3,032.32 | 6 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,960.64 – $4,974.49 | 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.