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 |
|---|---|---|---|---|
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $42.80 | $80.75 | $34.10 – $61.08 | 8 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $4.83 | $9.11 | $0.46 – $1.59 | 11 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $394.11 – $1,004.42 | 6 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $8.49 | $16.01 | $1.98 – $5.09 | 11 |
| Metabolic Blood Panel (Basic) CPT 80048 | $69.96 | $132.00 | $8.46 – $36.68 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $112.89 | $213.00 | $10.56 – $45.86 | 16 |
| Metabolic panel ionized ca CPT 80047 | $69.96 | $132.00 | $13.73 – $42.97 | 16 |
| Metatarsal joint implant HCPCS L8641 | $2,703.00 | $5,100.00 | $349.34 – $505.29 | 4 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $15.01 | $28.33 | $0.79 – $3.26 | 11 |
| Methadone injection HCPCS J1230 | $33.55 | $63.29 | $18.49 – $59.99 | 10 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $11.66 | $22.00 | $7.16 – $20.28 | 10 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $2.18 | $4.12 | $0.26 – $0.82 | 11 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $2.65 | $5.00 | $2.52 – $5.00 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $116.60 | $220.00 | $38.57 – $84.85 | 11 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $59.86 | $112.95 | $23.22 – $63.71 | 10 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $2.22 | $4.18 | $1.79 – $4.00 | 7 |
| Methylphenidate CPT 80360 | $181.79 | $343.00 | $31.52 – $79.09 | 8 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.53 | $1.00 | $0.16 – $0.28 | 6 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $2.53 | $4.77 | $1.27 – $3.78 | 11 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $5.70 | $10.75 | $0.03 – $0.06 | 10 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $435.57 | 16 |
| Mgmt promoter methylation analysis CPT 81287 | $2,530.75 | $4,775.00 | $121.34 – $390.08 | 16 |
| Microalbumin urine screen CPT 82044 | $12.19 | $23.00 | $6.23 – $19.50 | 16 |
| Microbe susceptible mlc CPT 87187 | $29.68 | $56.00 | $21.33 – $125.72 | 16 |
| Microdissection laser CPT 88380 | not published | not published | $72.75 – $192.73 | 12 |
| Microdissection manual CPT 88381 | $835.28 | $1,576.00 | $33.18 – $162.63 | 12 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $72.23 | 16 |
| Microsatellite instability CPT 81301 | $2,162.40 | $4,080.00 | $348.56 – $1,261.98 | 16 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $315.32 – $794.79 | 6 |
| Microvolt t-wave assess CPT 93025 | $507.21 | $957.00 | $60.54 – $335.08 | 9 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $1.71 | $3.23 | $0.17 – $0.43 | 11 |
| Middle cerebral artery echo CPT 76821 | $293.09 | $553.00 | $55.47 – $245.18 | 10 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $8.91 | $16.82 | $1.83 – $5.70 | 10 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,490.20 – $10,583.09 | 13 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $161.68 | $305.05 | $51.14 – $241.01 | 11 |
| Mitomycin instillation HCPCS J9281 | $428.88 | $809.21 | $333.85 – $625.99 | 8 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $32.86 | $62.00 | $44.21 – $55.39 | 3 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $4,205.32 – $10,705.14 | 6 |
| Mlh1 gene CPT 81288 | $1,475.52 | $2,784.00 | $192.32 – $601.90 | 16 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $633.44 | 16 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $2,113.77 | 16 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $1,035.92 | 16 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $22.68 – $88.28 | 8 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.74 – $22.79 | 8 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,670.30 – $4,124.15 | 6 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $85.71 – $188.56 | 10 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $73.14 | $138.00 | $131.80 – $328.90 | 6 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $127.20 | $240.00 | $228.16 – $569.08 | 6 |
| Mnl prep&insj imed rx dev CPT 20702 | $121.37 | $229.00 | $220.75 – $546.28 | 6 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $312.53 – $764.49 | 6 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $711.31 – $1,682.93 | 6 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $391.51 – $1,527.91 | 6 |
| Mnt subs tx for change dx HCPCS G0270 | $66.25 | $125.00 | $44.89 – $117.96 | 6 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $183.29 – $466.58 | 6 |
| Modification of contact lens CPT 92325 | not published | not published | $73.51 – $276.06 | 9 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $2,049.32 – $5,173.50 | 6 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $884.07 – $2,230.44 | 6 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $15.06 – $83.01 | 12 |
| Molded inner boot HCPCS L2280 | $532.65 | $1,005.00 | $565.55 – $818.03 | 4 |
| Mopath procedure level 1 CPT 81400 | $994.81 | $1,877.00 | $63.96 – $204.03 | 16 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $6,990.00 | 16 |
| Mopath procedure level 5 CPT 81404 | $2,259.92 | $4,264.00 | $274.83 – $874.57 | 16 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $6,990.00 | 16 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $6,990.00 | 16 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $6,990.00 | 16 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,100.00 – $6,990.00 | 13 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $37.41 | $70.58 | $2.83 – $14.24 | 10 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $34.10 | $64.34 | $10.47 – $47.89 | 10 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $836.34 | $1,578.00 | $58.39 – $490.17 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $1,025.55 | $1,935.00 | $62.62 – $770.40 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $356.16 | $672.00 | $53.33 – $367.00 | 15 |
| Motion analysis video/3d CPT 96000 | not published | not published | $137.62 – $1,136.37 | 9 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $178.38 – $2,178.90 | 9 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $4.15 – $854.61 | 9 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $461.40 – $1,519.09 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $488.13 | $921.00 | $36.38 – $84.72 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $869.20 | $1,640.00 | $84.75 – $566.27 | 15 |
| M/phmtrc alysishquant/semiq CPT 88369 | $869.20 | $1,640.00 | $42.83 – $123.49 | 12 |
| M/phmtrc alys skeletal musc CPT 88355 | $583.53 | $1,101.00 | $53.33 – $367.00 | 15 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $503.61 | 12 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $87.10 | 16 |
| M.pneumon dna quant CPT 87582 | not published | not published | $85.88 – $947.10 | 16 |
| Mpsv4 vaccine subq CPT 90733 | $195.57 | $369.00 | $137.16 – $420.75 | 9 |
| MRA abdomen post contrast CPT 74185 | $2,428.99 | $4,583.00 | $139.98 – $672.82 | 7 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,632.93 | $3,081.00 | $140.56 – $665.75 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,539.23 | $4,791.00 | $140.59 – $668.12 | 7 |
| MRA pelvis CPT 72198 | $2,095.09 | $3,953.00 | $139.98 – $672.03 | 7 |
| MRA spinal canal CPT 72159 | not published | not published | $141.63 – $693.25 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,952.52 | $3,684.00 | $135.95 – $693.25 | 7 |
| MRA w/cont, abd HCPCS C8900 | $2,355.32 | $4,444.00 | $828.27 – $828.27 | 4 |
| MRA without cont, abd HCPCS C8901 | $2,355.32 | $4,444.00 | $517.79 – $517.79 | 4 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,416.27 | $4,559.00 | $828.27 – $828.27 | 4 |
| Mr elastography CPT 76391 | not published | not published | $86.34 – $517.79 | 10 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $4,564.61 – $4,564.61 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $173.30 – $533.86 | 10 |
| MRI brain without dye CPT 70557 | not published | not published | $244.31 – $1,174.27 | 10 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $173.30 – $535.90 | 10 |
| MRI breast c- unilateral CPT 77046 | $2,662.72 | $5,024.00 | $113.25 – $517.79 | 10 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,132.30 | $5,910.00 | $164.56 – $639.07 | 7 |
| MRI breast without cont bi CPT 77047 | $2,980.72 | $5,624.00 | $125.36 – $517.79 | 10 |
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.