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 itraconazole therapeutic drug level CPT 80189 | $50.35 | $95.00 | $27.11 – $59.64 | 11 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $113.42 | $214.00 | $27.11 – $85.89 | 13 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $127.20 | $240.00 | $13.25 – $57.32 | 16 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $106.00 | $200.00 | $12.79 – $56.18 | 16 |
| Mayo legionella antibody CPT 86713 | $124.02 | $234.00 | $15.30 – $66.50 | 16 |
| Mayo leptospira antibody igm CPT 86720 | $42.93 | $81.00 | $13.78 – $50.95 | 16 |
| Mayo lipoprotein electrophoresis CPT 83700 | $45.58 | $86.00 | $11.26 – $49.28 | 16 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $140.98 | $266.00 | $15.49 – $67.64 | 16 |
| Mayo manganese CPT 83785 | $183.91 | $347.00 | $26.65 – $107.74 | 16 |
| Mayo metanephrines plasma CPT 83835 | $181.26 | $342.00 | $16.94 – $73.37 | 16 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $107.59 | $203.00 | $31.67 – $79.09 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $12.05 – $58.93 | 12 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $29.15 | $55.00 | $18.40 – $40.48 | 10 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $43.99 | $83.00 | $14.55 – $63.05 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $127.20 | $240.00 | $18.64 – $59.60 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $140.45 | $265.00 | $137.00 – $436.71 | 16 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $620.42 | 12 |
| Mayo muramidase CPT 85549 | $115.01 | $217.00 | $18.75 – $81.37 | 16 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $29.15 | $55.00 | $18.40 – $40.48 | 10 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $60.95 | $115.00 | $18.05 – $79.09 | 16 |
| Mayo myoglobin CPT 83874 | $106.53 | $201.00 | $12.92 – $56.18 | 16 |
| Mayo nickel CPT 83885 | $182.32 | $344.00 | $24.51 – $106.60 | 16 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $121.37 | $229.00 | $31.67 – $79.09 | 8 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $31.67 – $79.09 | 8 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $18.02 | $34.00 | $27.17 – $79.09 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $174.90 | $330.00 | $21.21 – $72.23 | 16 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $72.23 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $106.00 | $200.00 | $14.45 – $56.18 | 16 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $56.18 | $106.00 | $11.53 – $50.42 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $98.05 | $185.00 | $15.03 – $65.33 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $120.84 | $228.00 | $12.05 – $52.73 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $281.96 | $532.00 | $35.09 – $152.46 | 16 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $105.47 | $199.00 | $17.98 – $77.95 | 16 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $74.20 | $140.00 | $13.76 – $53.57 | 16 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $78.44 | $148.00 | $8.44 – $36.68 | 16 |
| Mayo pregnenolone CPT 84140 | $74.73 | $141.00 | $20.67 – $90.55 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $137.27 | $259.00 | $16.59 – $72.23 | 16 |
| Mayo proinsulin CPT 84206 | $121.37 | $229.00 | $26.69 – $83.53 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $121.37 | $229.00 | $18.39 – $80.23 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $2,908.64 | $5,488.00 | $18.40 – $58.46 | 16 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $49.29 | $93.00 | $13.36 – $58.46 | 16 |
| Mayo receptor assay transferrin soluble CPT 84238 | $256.52 | $484.00 | $36.57 – $159.33 | 16 |
| Mayo renin CPT 84244 | $176.49 | $333.00 | $21.99 – $96.28 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | $120.31 | $227.00 | $17.83 – $61.14 | 16 |
| Mayo selenium CPT 84255 | $171.72 | $324.00 | $25.53 – $111.19 | 16 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $72.08 | $136.00 | $15.50 – $67.64 | 16 |
| Mayo serotonin CPT 84260 | $165.36 | $312.00 | $30.98 – $135.24 | 16 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $68.90 | $130.00 | $19.35 – $84.82 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $113.95 | $215.00 | $13.73 – $59.60 | 16 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $6,662.00 – $6,662.00 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $33.39 | $63.00 | $4.27 – $18.32 | 16 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $6,662.00 – $6,662.00 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $910.09 | 16 |
| Mayo tgrp testosterone free CPT 84402 | $156.88 | $296.00 | $25.47 – $111.19 | 16 |
| Mayo tgrp testosterone total CPT 84403 | $24.38 | $46.00 | $25.81 – $112.33 | 16 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $74.27 | 11 |
| Mayo thyroglobulin CPT 84432 | $120.84 | $228.00 | $16.06 – $69.91 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $66.25 | $125.00 | $10.18 – $39.31 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $79.50 | $150.00 | $12.39 – $47.85 | 16 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $125.08 | $236.00 | $31.52 – $79.09 | 8 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $81.62 | $154.00 | $51.28 – $231.55 | 16 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $96.99 | $183.00 | $14.16 – $45.86 | 16 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $23.85 | $45.00 | $13.54 – $59.60 | 16 |
| Mayo vasoactive intestinal peptide CPT 84586 | $135.15 | $255.00 | $30.19 – $136.52 | 16 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $151.05 | $285.00 | $20.24 – $88.27 | 16 |
| Mayo vitamin b3 (niacin) CPT 84591 | $343.97 | $649.00 | $17.06 – $53.39 | 16 |
| Mayo vitamin k CPT 84597 | $56.71 | $107.00 | $13.72 – $59.60 | 16 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $78.97 | $149.00 | $13.25 – $57.32 | 16 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,283.82 – $3,236.99 | 6 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $6,990.00 | 16 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $809.03 – $1,951.81 | 6 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $865.96 – $2,098.63 | 6 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $916.47 – $2,226.59 | 6 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $32.74 – $81.40 | 6 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,472.17 – $5,969.68 | 6 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $30.36 – $1,136.37 | 9 |
| Measure kidney pressure CPT 50396 | not published | not published | $185.67 – $1,429.49 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $207.23 | $391.00 | $17.15 – $127.20 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $139.50 – $560.59 | 9 |
| Mechlorethamine hcl inj HCPCS J9230 | $253.87 | $479.00 | $209.22 – $402.62 | 5 |
| #mec-opiates CPT 80356 | $69.96 | $132.00 | $31.67 – $79.09 | 8 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $6,990.00 | 16 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $6,990.00 | 16 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $6,990.00 | 16 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $193.07 – $193.07 | 1 |
| Medial canthopexy CPT 21280 | $1,141.09 | $2,153.00 | $950.61 – $2,300.18 | 6 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $605.30 – $1,541.76 | 6 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $464.61 – $1,179.04 | 6 |
| Medical services after hrs CPT 99050 | not published | not published | $29.75 – $64.05 | 6 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $285.46 – $2,636.05 | 10 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.67 | $1.27 | $0.65 – $0.87 | 5 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $29.75 – $64.05 | 6 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $29.75 – $64.05 | 6 |
| Meg evoked each addl CPT 95967 | not published | not published | $299.35 – $685.35 | 6 |
| Meg evoked single CPT 95966 | not published | not published | $342.02 – $2,178.90 | 9 |
| Meg spontaneous CPT 95965 | not published | not published | $670.75 – $2,178.90 | 9 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $276.90 – $455.40 | 5 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,616.37 – $6,515.35 | 6 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $9.54 | $18.00 | $8.48 – $13.03 | 8 |
| Meperidine/promethazine inj HCPCS J2180 | $2.65 | $5.00 | $4.93 – $4.93 | 4 |
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.