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 |
|---|---|---|---|---|
| Mayo activated protein c resistance assay CPT 85307 | $152.11 | $287.00 | $15.32 – $65.19 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $69.43 | $131.00 | $38.57 – $122.21 | 13 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $37.63 | $71.00 | $21.49 – $22.90 | 4 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $87.45 | $165.00 | $31.67 – $79.09 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $103.35 | $195.00 | $14.78 – $64.19 | 16 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $172.25 | $325.00 | $31.67 – $79.09 | 8 |
| Mayo alpha 1 antitrypsin CPT 82103 | $142.04 | $268.00 | $13.44 – $58.46 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $112.89 | $213.00 | $15.08 – $65.33 | 16 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $14.84 | $28.00 | $22.10 – $30.92 | 4 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $122.96 | $232.00 | $30.99 – $79.09 | 8 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,319.70 | $2,490.00 | $121.63 – $469.95 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,144.27 | $2,159.00 | $91.66 – $400.02 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $244.86 | $462.00 | $137.00 – $435.57 | 13 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,927.61 | $3,637.00 | $1,218.00 – $3,693.13 | 13 |
| Mayo androstenedione CPT 82157 | $196.63 | $371.00 | $29.28 – $127.23 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $106.53 | $201.00 | $14.60 – $64.19 | 16 |
| Mayo antithrombin iii antigen CPT 85301 | $36.57 | $69.00 | $10.81 – $47.00 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $61.48 | $116.00 | $13.78 – $58.18 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $89.57 | $169.00 | $30.86 – $99.73 | 16 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $117.55 | 11 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $102.82 | $194.00 | $22.78 – $79.09 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $50.88 | $96.00 | $10.18 – $39.31 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $485.48 | $916.00 | $144.84 – $631.58 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $701.49 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $57.77 | $109.00 | $12.90 – $49.86 | 16 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $31.67 – $79.09 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $128.79 | $243.00 | $13.19 – $50.95 | 16 |
| Mayo brcmg brucella antibody igm CPT 86622 | $14.31 | $27.00 | $8.93 – $34.52 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $182.32 | $344.00 | $13.60 – $59.60 | 16 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $68.37 | $129.00 | $31.67 – $79.09 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $222.60 | $420.00 | $16.87 – $65.76 | 16 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $374.71 | $707.00 | $26.78 – $116.92 | 16 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $160.59 | $303.00 | $122.22 – $532.99 | 16 |
| Mayo ceruloplasmin CPT 82390 | $88.51 | $167.00 | $10.74 – $47.00 | 16 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $71.02 | $134.00 | $14.12 – $61.91 | 16 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $128.79 | $243.00 | $12.88 – $49.76 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $49.29 | $93.00 | $11.82 – $45.69 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $49.29 | $93.00 | $12.68 – $49.01 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $393.79 | $743.00 | $116.49 – $450.11 | 16 |
| Mayo chromium CPT 82495 | $53.53 | $101.00 | $17.23 – $78.37 | 16 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $63.07 | $119.00 | $30.14 – $79.09 | 8 |
| Mayo coccidioides antibody CPT 86635 | $54.06 | $102.00 | $11.47 – $44.35 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $1,620.21 | $3,057.00 | $24.09 – $79.09 | 16 |
| Mayo cortisol free CPT 82530 | $139.39 | $263.00 | $16.71 – $73.37 | 16 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $39.75 | $75.00 | $42.13 – $133.23 | 13 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $60.42 | $114.00 | $12.12 – $46.85 | 16 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $39.17 – $39.38 | 4 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $116.07 | $219.00 | $27.08 – $6,990.00 | 4 |
| Mayo cyanide CPT 82600 | $166.42 | $314.00 | $19.40 – $84.82 | 16 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $430.36 | $812.00 | $76.58 – $636.13 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $111.30 | $210.00 | $13.25 – $57.32 | 16 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $171.72 | $324.00 | $25.27 – $110.05 | 16 |
| Mayo dihydrotestosterone CPT 82642 | $29.15 | $55.00 | $29.28 – $103.15 | 13 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $36.68 | 16 |
| Mayo efpo chloride stool CPT 82438 | $40.28 | $76.00 | $5.00 – $21.78 | 16 |
| Mayo estriol CPT 82677 | $39.75 | $75.00 | $24.18 – $105.46 | 16 |
| Mayo estrone CPT 82679 | $213.59 | $403.00 | $24.95 – $108.88 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $139.39 | $263.00 | $16.34 – $71.05 | 16 |
| Mayo everolimus therapeutic drug level CPT 80169 | $413.40 | $780.00 | $13.73 – $59.60 | 16 |
| Mayo factor ii CPT 85210 | $53.53 | $101.00 | $12.98 – $50.17 | 16 |
| Mayo factor v CPT 85220 | $162.18 | $306.00 | $17.65 – $76.78 | 16 |
| Mayo factor vii CPT 85230 | $189.21 | $357.00 | $17.90 – $77.95 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $170.66 | $322.00 | $22.94 – $99.73 | 16 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $156.88 | $296.00 | $22.94 – $99.73 | 16 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $231.08 | $436.00 | $22.94 – $99.73 | 16 |
| Mayo factor x CPT 85260 | $164.30 | $310.00 | $17.90 – $77.95 | 16 |
| Mayo factor xi CPT 85270 | $164.30 | $310.00 | $17.90 – $77.95 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $139.39 | $263.00 | $16.80 – $73.37 | 16 |
| Mayo fbl culture fungi blood CPT 87103 | $96.46 | $182.00 | $18.56 – $64.03 | 16 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $17.71 – $251.81 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $24.38 | $46.00 | $7.68 – $24.47 | 16 |
| Mayo fibrinogen antigen CPT 85385 | $27.56 | $52.00 | $14.46 – $45.25 | 16 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $127.20 | $240.00 | $21.67 – $67.82 | 16 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | not published | $6,662.00 – $7,655.00 | 5 |
| Mayo hemosiderin qualitative urine CPT 83070 | $41.87 | $79.00 | $4.75 – $20.64 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $57.24 | $108.00 | $35.09 – $152.46 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $55.65 | $105.00 | $35.09 – $152.46 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $73.67 | $139.00 | $13.79 – $51.22 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $275.07 | $519.00 | $25.81 – $112.33 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $58.30 | $110.00 | $8.89 – $38.96 | 16 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $87.98 | $166.00 | $13.52 – $58.46 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $176.49 | $333.00 | $27.17 – $118.05 | 16 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $106.53 | $201.00 | $17.27 – $56.18 | 16 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $111.83 | $211.00 | $14.99 – $65.33 | 16 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $155.29 | $293.00 | $20.81 – $90.55 | 16 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $121.90 | $230.00 | $20.81 – $90.55 | 16 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $77.20 | 4 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $47.17 | $89.00 | $16.07 – $52.73 | 16 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $214.65 | $405.00 | $11.98 – $52.73 | 16 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $333.37 | $629.00 | $35.09 – $152.46 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $136.21 | $257.00 | $35.09 – $111.22 | 13 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $230.02 | $434.00 | $35.09 – $152.46 | 16 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $77.20 | 4 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $306.87 | $579.00 | $42.84 – $186.83 | 16 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $115.01 | $217.00 | $72.19 – $229.24 | 13 |
| Mayo infliximab therapeutic drug level CPT 80230 | $69.43 | $131.00 | $38.57 – $122.21 | 13 |
| Mayo inhab inhibin a CPT 86336 | $17.49 | $33.00 | $15.59 – $67.64 | 16 |
| Mayo insft insulin free CPT 83527 | $48.76 | $92.00 | $12.95 – $56.18 | 16 |
| Mayo insulin antibodies CPT 86337 | $159.00 | $300.00 | $21.41 – $92.83 | 16 |
| Mayo iodine CPT 83789 | $151.05 | $285.00 | $24.11 – $79.09 | 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.