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 |
|---|---|---|---|---|
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $541.71 | $1,022.10 | $236.49 – $643.03 | 11 |
| Ocular function screen CPT 99172 | not published | not published | $5.64 – $61.49 | 6 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $9.49 – $43.76 | 6 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $7.29 – $15.65 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $334.80 – $1,174.91 | 9 |
| Ocular reconst transplant CPT 65780 | not published | not published | $1,079.57 – $2,651.59 | 6 |
| Ocular reconst transplant CPT 65781 | not published | not published | $2,133.33 – $5,303.15 | 6 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,842.26 – $4,576.26 | 6 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $71.02 | $134.00 | $73.55 – $105.53 | 6 |
| Office consultation CPT 99241 | not published | not published | $51.82 – $51.82 | 1 |
| Office emergency care CPT 99058 | not published | not published | $35.39 – $77.00 | 6 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $144.53 – $317.98 | 6 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $220.44 – $475.90 | 6 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $295.53 – $580.49 | 6 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $91.39 – $232.14 | 6 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $41.02 – $78.55 | 6 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $65.23 – $126.96 | 6 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $20.79 – $39.47 | 6 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $42.93 | $81.00 | $43.93 – $80.23 | 9 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,157.52 – $5,441.11 | 6 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $536.52 – $1,364.89 | 6 |
| Onc breast mrna 12 genes CPT 81522 | $6,927.10 | $13,070.00 | $4,066.65 – $12,222.44 | 10 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,635.72 – $9,856.37 | 13 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $4,066.65 – $12,331.08 | 13 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,066.65 – $12,301.27 | 10 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $4,066.65 – $12,326.02 | 9 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,552.65 – $24,096.55 | 9 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,271.80 – $9,983.60 | 13 |
| Oncology colorectal scr CPT 81528 | $483.36 | $912.00 | $508.87 – $1,592.59 | 16 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,813.51 | 16 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $568.53 | 16 |
| Oncology lung CPT 81538 | not published | not published | $3,014.55 – $8,985.24 | 13 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $2,378.54 | 16 |
| Oncology thyroid CPT 81545 | not published | not published | $5,563.49 – $11,266.76 | 8 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $6,990.00 | 16 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,937.50 – $11,736.21 | 13 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $6,990.00 | 16 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $6,990.00 | 16 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $280.83 | 16 |
| Oncoprotein her-2/neu CPT 83950 | $81.62 | $154.00 | $64.41 – $280.83 | 16 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,131.50 – $6,447.51 | 10 |
| Onc prostate mrna 22 cnt gen CPT 81542 | $6,927.10 | $13,070.00 | $4,066.65 – $12,974.55 | 9 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $4,066.65 – $12,331.08 | 13 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,780.00 – $12,060.00 | 9 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | $6,927.10 | $13,070.00 | $8,164.80 – $26,049.60 | 9 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $56.18 | $106.00 | $0.01 – $0.03 | 12 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.57 | $1.07 | $0.11 – $0.18 | 9 |
| Oocyte identification CPT 89254 | not published | not published | $82.47 – $367.00 | 9 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,854.26 – $4,589.09 | 6 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $2,263.47 – $5,694.98 | 6 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,217.92 – $5,583.54 | 6 |
| Open aortic tube prosth repair 34830 CPT 34830 | $7,276.90 | $13,730.00 | $2,600.13 – $6,671.93 | 6 |
| Open aortofemor prosth repr CPT 34832 | $7,397.21 | $13,957.00 | $2,794.02 – $7,173.03 | 6 |
| Open aortoiliac prosth repr 34831 CPT 34831 | $8,160.41 | $15,397.00 | $2,846.57 – $7,314.32 | 6 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $695.61 – $1,705.97 | 6 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $1,152.07 – $2,908.29 | 6 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $342.82 – $877.81 | 6 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $1,232.69 – $2,947.49 | 6 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $1,092.49 – $2,597.06 | 6 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,066.34 – $2,713.75 | 6 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $3,059.86 – $7,619.85 | 6 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $299.98 | $566.00 | $462.35 – $1,758.57 | 6 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $921.69 – $2,353.48 | 6 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,239.84 – $5,459.60 | 6 |
| Open tx nose fx w/skele fixj CPT 21330 | $1,308.57 | $2,469.00 | $869.40 – $2,211.13 | 6 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $1,155.73 – $2,809.65 | 6 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $900.51 – $2,282.39 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $1,092.32 – $2,783.98 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,483.37 – $3,772.90 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $858.50 – $2,094.24 | 6 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,210.28 – $3,066.92 | 6 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,213.94 – $3,069.71 | 6 |
| Ophthalmic biometry CPT 92136 | not published | not published | $27.54 – $276.06 | 9 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $141.15 – $359.28 | 6 |
| Ophthalmodynamometry CPT 92260 | $27.03 | $51.00 | $17.17 – $84.06 | 9 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $49.44 – $276.06 | 10 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $53.35 – $245.18 | 10 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $35.21 – $245.18 | 10 |
| Opioids & opiate analogs 3/4 CPT 80363 | $70.49 | $133.00 | $36.09 – $6,990.00 | 4 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,925.08 – $4,864.57 | 6 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $441.39 – $1,138.94 | 6 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $9,338.78 – $9,338.78 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $8,034.65 – $8,034.65 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $11,525.47 – $11,525.47 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $6,722.03 – $6,722.03 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $5,304.46 – $5,304.46 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $399.30 – $1,032.46 | 6 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $575.77 – $2,157.92 | 6 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $944.71 – $2,387.76 | 6 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $490.96 – $1,196.59 | 6 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $486.93 – $1,310.20 | 6 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,039.87 – $2,638.27 | 6 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $1,351.01 – $3,443.06 | 6 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,732.27 – $4,351.45 | 6 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,019.80 – $5,037.71 | 6 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,757.02 – $4,309.21 | 6 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $645.71 – $1,974.81 | 6 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,679.60 – $4,070.62 | 6 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,663.08 – $3,788.28 | 6 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,754.67 – $4,310.01 | 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.