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 |
|---|---|---|---|---|
| MRI breast w IV cont bi CPT 77049 | $4,475.32 | $8,444.00 | $180.10 – $635.92 | 7 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,059.58 | $3,886.00 | $182.61 – $517.79 | 10 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,563.61 | $4,837.00 | $202.11 – $828.27 | 10 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $230.45 – $1,692.04 | 10 |
| MRI chest without contrast CPT 71550 | $1,675.33 | $3,161.00 | $114.56 – $517.79 | 10 |
| MRI chest without & w/contrast CPT 71552 | $1,775.50 | $3,350.00 | $177.24 – $828.27 | 10 |
| MRI chest w IV cont CPT 71551 | not published | not published | $135.41 – $1,692.04 | 10 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $145.60 – $296.07 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $235.31 – $517.79 | 10 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $116.14 – $248.03 | 6 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $330.87 – $703.06 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $2,417.86 | $4,562.00 | $127.06 – $828.27 | 10 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,432.39 | $8,363.00 | $105.86 – $517.79 | 10 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $6,434.73 | $12,141.00 | $168.54 – $828.27 | 10 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,882.67 | $5,439.00 | $105.31 – $517.79 | 10 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,724.73 | $5,141.00 | $167.99 – $828.27 | 10 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,556.72 | $4,824.00 | $127.06 – $828.27 | 10 |
| MRI tmj CPT 70336 | $2,064.88 | $3,896.00 | $115.16 – $517.79 | 10 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,867.52 | $9,184.00 | $106.40 – $517.79 | 10 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $6,403.46 | $12,082.00 | $168.54 – $828.27 | 10 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $127.06 – $828.27 | 10 |
| Mr safety determination physician/other qhp CPT 76016 | $163.24 | $308.00 | $79.10 – $198.11 | 7 |
| Mr safety implant elec prepj CPT 76018 | $170.13 | $321.00 | $89.36 – $206.53 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $144.50 – $144.50 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $110.24 | $208.00 | $57.82 – $133.65 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $45.58 | $86.00 | $23.84 – $55.10 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | $448.38 | $846.00 | $100.65 – $543.87 | 7 |
| Mr spectroscopy CPT 76390 | $963.54 | $1,818.00 | $85.71 – $232.66 | 10 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $667.56 | 16 |
| Msh2 gene full seq CPT 81295 | not published | not published | $221.77 – $1,194.59 | 16 |
| Msh2 gene known variants CPT 81296 | not published | not published | $189.35 – $1,056.98 | 16 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $236.35 – $744.86 | 16 |
| Msh6 gene full seq CPT 81298 | not published | not published | $420.77 – $2,008.77 | 16 |
| Msh6 gene known variants CPT 81299 | not published | not published | $235.71 – $963.93 | 16 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $4,290.41 – $10,717.93 | 6 |
| Mthfr gene analy common variants CPT 81291 | $430.36 | $812.00 | $65.34 – $204.49 | 16 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $87.10 | 16 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $186.83 | 16 |
| Mucin synovial fluid CPT 83872 | $18.55 | $35.00 | $5.86 – $25.23 | 16 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $89.20 | 16 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $57.32 | 16 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $29.00 – $76.92 | 8 |
| Multi den insert direct form HCPCS A5512 | $24.91 | $47.00 | $30.13 – $43.58 | 5 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $47.48 – $344.10 | 9 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $54.48 – $335.08 | 9 |
| Multiple sleep latency test CPT 95805 | $3,365.50 | $6,350.00 | $93.38 – $1,136.37 | 9 |
| Mumps antibody igg CPT 86735 | $110.77 | $209.00 | $13.05 – $57.32 | 16 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,917.53 – $4,790.44 | 6 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,996.22 – $5,073.05 | 6 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,339.27 – $5,860.34 | 6 |
| Muscle test cran nerv unilat CPT 95867 | $70.49 | $133.00 | $67.58 – $666.91 | 9 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $104.16 – $335.08 | 9 |
| Muscle test larynx CPT 95865 | not published | not published | $112.37 – $276.06 | 9 |
| Muscle test one fiber CPT 95872 | $58.83 | $111.00 | $81.17 – $335.08 | 9 |
| Muscle transfers CPT 23397 | not published | not published | $1,794.67 – $4,454.65 | 6 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,022.69 – $5,013.64 | 6 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,636.64 – $4,111.93 | 6 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,196.38 – $2,931.01 | 6 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $152.46 | 16 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $87.10 | 16 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $186.83 | 16 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2.91 | $5.49 | $0.23 – $0.64 | 12 |
| Mycoplasma antibody igm CPT 86738 | $113.95 | $215.00 | $13.24 – $57.32 | 16 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $283.02 | $534.00 | $175.40 – $557.07 | 13 |
| Myelogphy 2/> spine regions CPT 72270 | $1,389.13 | $2,621.00 | $108.53 – $1,692.04 | 10 |
| Myelography l-s spine CPT 72265 | $781.75 | $1,475.00 | $65.50 – $1,692.04 | 10 |
| Myelography neck spine CPT 72240 | $1,358.92 | $2,564.00 | $72.30 – $1,692.04 | 10 |
| Myelography thoracic spine CPT 72255 | $753.66 | $1,422.00 | $75.02 – $1,692.04 | 10 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,267.34 | $4,278.00 | $196.28 – $1,692.04 | 9 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,371.22 | $4,474.00 | $191.18 – $1,692.04 | 9 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,371.22 | $4,474.00 | $188.33 – $1,692.04 | 9 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $191.18 – $1,692.04 | 9 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $96.46 | $182.00 | $11.53 – $50.42 | 16 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $3,931.78 – $10,038.19 | 6 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $116.86 – $3,330.77 | 7 |
| Myocrd img pet 1 std w/ct CPT 78429 | $2,762.89 | $5,213.00 | $130.93 – $3,330.77 | 7 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $154.44 – $6,188.63 | 7 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $168.67 – $6,188.63 | 7 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $138.70 – $3,330.77 | 7 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $145.03 – $5,063.63 | 7 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $124.29 – $3,330.77 | 7 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,831.26 – $4,572.89 | 6 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,480.02 – $3,658.06 | 6 |
| Myomectomy vag method CPT 58145 | not published | not published | $906.18 – $2,218.72 | 6 |
| Myringoplasty CPT 69620 | $469.05 | $885.00 | $802.40 – $2,784.88 | 6 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $6.39 | $12.06 | $3.19 – $8.57 | 10 |
| Naltrexone, depot form HCPCS J2315 | $3.71 | $7.00 | $4.30 – $6.80 | 6 |
| Narcosynthesis CPT 90865 | not published | not published | $156.41 – $618.38 | 9 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $261.82 | $494.00 | $102.56 – $765.76 | 9 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $226.06 – $497.33 | 3 |
| Nasal function studies CPT 92512 | not published | not published | $44.45 – $666.91 | 9 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $320.13 – $825.69 | 6 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,827.09 – $4,488.68 | 6 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,929.89 – $4,756.57 | 6 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $276.66 | $522.00 | $254.44 – $999.58 | 6 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $371.65 – $954.52 | 6 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $252.82 – $621.93 | 6 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $386.36 – $1,662.06 | 6 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $512.99 – $1,423.42 | 6 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $598.86 – $1,794.36 | 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.