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 |
|---|---|---|---|---|
| Laser surgery eye strands CPT 67031 | not published | not published | $534.05 – $1,557.10 | 9 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $236.16 – $699.30 | 6 |
| Laser surgery of prostate CPT 52647 | $3,227.70 | $6,090.00 | $1,033.50 – $6,475.05 | 6 |
| Laser surgery of prostate CPT 52648 | $3,835.08 | $7,236.00 | $1,100.51 – $6,677.67 | 6 |
| Laser surg penis lesion(s) CPT 54057 | $214.12 | $404.00 | $157.28 – $550.92 | 6 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,542.15 – $3,834.69 | 6 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,663.91 – $4,144.16 | 6 |
| Lateral canthopexy CPT 21282 | $1,337.19 | $2,523.00 | $644.69 – $1,542.17 | 6 |
| Lat retinacular release open CPT 27425 | not published | not published | $730.83 – $1,763.12 | 6 |
| Lavage cannulation maxillary sinus CPT 31000 | $171.72 | $324.00 | $178.55 – $720.21 | 9 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,773.17 – $4,452.76 | 6 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $1,172.12 – $3,475.28 | 6 |
| Lead capillary CPT 83655 | $100.17 | $189.00 | $12.11 – $52.73 | 16 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,161.26 – $5,381.29 | 6 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,218.02 – $5,529.47 | 6 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,759.70 – $6,912.07 | 6 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,285.00 – $5,743.61 | 6 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,631.63 – $6,509.41 | 6 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $1.59 | $3.00 | $2.04 – $2.95 | 5 |
| Left compres band >=5"/yd HCPCS A6450 | $2.65 | $5.00 | $2.04 – $3.96 | 6 |
| Legion pneumo dna dir prob CPT 87540 | $95.40 | $180.00 | $20.05 – $87.10 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $182.24 | 16 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,398.37 – $3,879.19 | 6 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,892.10 | $3,570.00 | $53.45 – $517.68 | 9 |
| Leishmania antibody CPT 86717 | $31.27 | $59.00 | $12.25 – $47.32 | 16 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,083.85 – $2,510.31 | 6 |
| Lengthening of palate CPT 42227 | not published | not published | $1,368.23 – $3,271.35 | 6 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,469.11 – $3,497.63 | 6 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,865.10 – $4,618.77 | 6 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $804.68 – $1,991.90 | 6 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,042.25 – $2,556.97 | 6 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,398.15 – $3,435.96 | 6 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,690.38 – $4,180.07 | 6 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,506.63 – $3,575.49 | 6 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,573.98 – $3,887.01 | 6 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,778.78 – $4,405.41 | 6 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $275.18 | $519.20 | $118.79 – $171.82 | 4 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $174.90 | $330.00 | $118.79 – $171.82 | 4 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $13.62 | $25.69 | $4.14 – $14.34 | 10 |
| Leukacyte transfusion CPT 86950 | not published | not published | $21.83 – $367.00 | 12 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $34.37 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $828.31 | $1,562.85 | $216.58 – $552.97 | 11 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,589.28 | $4,885.43 | $1,695.30 – $4,772.03 | 10 |
| Leuprolide acetate implant HCPCS J9219 | $4,516.13 | $8,521.00 | $7,389.20 – $7,389.20 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | $26.50 | $50.00 | $9.31 – $41.94 | 10 |
| Levalbuterol non-comp con HCPCS J7612 | $0.53 | $1.00 | $0.26 – $0.95 | 11 |
| Levalbuterol non-comp unit HCPCS J7614 | $0.06 | $0.12 | $0.06 – $0.12 | 8 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.85 | $1.60 | $0.08 – $0.21 | 11 |
| Levetiracetam therapeutic drug level CPT 80177 | $127.20 | $240.00 | $13.25 – $57.32 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $8.10 | $15.28 | $1.12 – $2.81 | 10 |
| Levonorgestrel implant sys HCPCS J7306 | $333.90 | $630.00 | $620.19 – $627.81 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $187.92 | $354.56 | $8.89 – $20.31 | 6 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $0.04 – $906.38 | 6 |
| Lidocaine injection HCPCS J2001 | $0.04 | $0.07 | $0.03 – $0.05 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $127.20 | $240.00 | $14.69 – $64.19 | 16 |
| Lift heel adj small gl60404sm HCPCS L3332 | $188.15 | $355.00 | $73.89 – $106.87 | 5 |
| Ligate esophagus veins CPT 43400 | not published | not published | $2,325.72 – $5,853.16 | 6 |
| Ligate leg veins open CPT 37761 | not published | not published | $818.98 – $2,078.21 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $860.13 – $2,386.41 | 6 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $118.69 – $303.24 | 6 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $2,210.71 – $5,577.44 | 6 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $699.82 – $1,803.96 | 6 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $589.25 – $1,611.10 | 6 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $592.25 – $1,456.12 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $311.11 | $587.00 | $318.82 – $1,220.86 | 6 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,002.33 – $5,049.48 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $373.90 – $939.52 | 6 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $1,171.23 – $2,882.34 | 6 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $1,095.57 – $2,838.70 | 6 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,127.97 – $2,810.06 | 6 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,681.38 – $4,242.35 | 6 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $600.01 – $1,496.25 | 6 |
| Ligation major artery neck CPT 37615 | not published | not published | $805.94 – $2,034.75 | 6 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $982.46 – $2,316.38 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,002.52 – $5,123.85 | 6 |
| Ligation of femoral vein CPT 37650 | not published | not published | $686.34 – $1,803.34 | 6 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $2,620.97 – $6,624.45 | 6 |
| Ligation of neck artery CPT 37606 | not published | not published | $1,104.23 – $2,670.74 | 6 |
| Ligation of salivary duct CPT 42665 | not published | not published | $350.85 – $1,366.33 | 6 |
| Ligation of shunt CPT 49428 | not published | not published | $662.76 – $1,662.47 | 6 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,419.74 – $3,358.11 | 6 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $296.80 | $560.00 | $389.16 – $1,379.36 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $567.43 – $1,437.62 | 6 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $868.51 – $2,430.14 | 6 |
| Limb exercise test CPT 95875 | not published | not published | $94.20 – $335.08 | 9 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $332.37 – $845.42 | 6 |
| Limited autopsy CPT 88036 | not published | not published | $131.99 – $371.38 | 9 |
| Limited autopsy CPT 88037 | not published | not published | $117.58 – $330.11 | 9 |
| Limited visual field xm CPT 92081 | $56.18 | $106.00 | $26.21 – $127.20 | 9 |
| Lincomycin injection HCPCS J2010 | $13.25 | $25.00 | $11.10 – $19.90 | 9 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $33.48 | $63.17 | $3.72 – $10.58 | 10 |
| Lipase CPT 83690 | $58.30 | $110.00 | $6.89 – $29.82 | 16 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $700.66 | $1,322.00 | $562.51 – $1,939.59 | 6 |
| Lipoprotein blood high res frac & quant CPT 83701 | $52.47 | $99.00 | $33.86 – $107.74 | 16 |
| Lipoprotein blood quant CPT 83704 | $334.43 | $631.00 | $34.19 – $137.55 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $67.31 | $127.00 | $8.19 – $35.54 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $94.34 | $178.00 | $10.50 – $41.27 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $111.19 | 13 |
| Lip surgery procedure CPT 40799 | not published | not published | $226.06 – $497.33 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $50.95 | 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.