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 |
|---|---|---|---|---|
| Other immunoelectrophoresis CPT 86325 | $31.80 | $60.00 | $23.13 – $61.14 | 16 |
| Oth resp proc, group HCPCS G0239 | $228.96 | $432.00 | $19.03 – $42.25 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $31.27 | $59.00 | $15.40 – $33.37 | 6 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $125.08 | $236.00 | $48.45 – $156.32 | 9 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $125.08 | $236.00 | $44.45 – $122.30 | 9 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $107.59 | $203.00 | $26.40 – $96.69 | 9 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $15.47 – $104.30 | 6 |
| Otoplasty 69300 CPT 69300 | $1,313.87 | $2,479.00 | $755.23 – $2,611.79 | 6 |
| Ot re-evaluation patient/family CPT 97168 | $111.83 | $211.00 | $67.28 – $166.09 | 9 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $121.90 | $230.00 | $33.53 – $112.53 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $40.81 | $77.00 | $20.28 – $75.04 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $81.09 | $153.00 | $21.23 – $78.51 | 9 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $98.58 | $186.00 | $27.97 – $104.21 | 9 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $113.42 | $214.00 | $31.14 – $108.74 | 9 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $112.89 | $213.00 | $31.07 – $113.26 | 9 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,371.40 – $6,013.88 | 6 |
| Out of office emerg med serv CPT 99060 | not published | not published | $39.51 – $85.17 | 6 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,214.65 – $2,978.94 | 6 |
| Ovulation tests CPT 84830 | $25.97 | $49.00 | $12.70 – $43.55 | 16 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $0.61 | $1.16 | $0.08 – $0.21 | 11 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $10.65 | $20.09 | $1.82 – $4.36 | 7 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $435.57 | 13 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $0.59 | $1.12 | $0.13 – $0.37 | 11 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $25.63 | $48.35 | $13.77 – $43.58 | 11 |
| Palb2 gene full gene seq CPT 81307 | $506.15 | $955.00 | $353.60 – $1,488.30 | 13 |
| Palb2 gene known famil vrnt CPT 81308 | $539.01 | $1,017.00 | $301.35 – $951.37 | 13 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $22.04 | $41.58 | $11.03 – $29.48 | 8 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,255.57 | $2,369.00 | $560.47 – $6,219.38 | 11 |
| Palonosetron hcl HCPCS J2469 | $12.19 | $23.00 | $0.81 – $2.93 | 11 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $49.51 | $93.42 | $11.94 – $31.48 | 11 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $4,957.35 – $12,291.27 | 6 |
| Pancreatectomy CPT 48146 | not published | not published | $2,887.03 – $7,261.47 | 6 |
| Pancreatectomy CPT 48152 | not published | not published | $4,401.56 – $11,123.51 | 6 |
| Pancreatectomy CPT 48154 | not published | not published | $4,419.90 – $11,171.15 | 6 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $4,735.88 – $11,946.33 | 6 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,400.21 – $6,026.59 | 6 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $2,062.20 – $5,183.43 | 6 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $141.51 | $267.00 | $165.04 – $248.59 | 6 |
| Papaverin hcl injection HCPCS J2440 | $96.57 | $182.20 | $48.75 – $116.66 | 7 |
| Parathormone (pth) intact CPT 83970 | $249.10 | $470.00 | $41.28 – $179.96 | 16 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,185.33 – $5,405.07 | 6 |
| Parathyrd planar w/spect&ct CPT 78072 | $3,586.51 | $6,767.00 | $121.18 – $1,152.80 | 10 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $372.38 – $938.08 | 6 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $61.59 – $860.57 | 10 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,128.48 | $4,016.00 | $92.11 – $860.57 | 10 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $1,324.13 – $3,276.76 | 6 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,401.21 – $3,472.86 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $221.01 | $417.00 | $25.26 – $425.55 | 9 |
| Parotid duct diversion CPT 42507 | not published | not published | $802.49 – $1,970.71 | 6 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,320.08 – $3,264.54 | 6 |
| Parotid duct diversion CPT 42510 | not published | not published | $982.51 – $2,420.72 | 6 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $1,348.18 – $3,313.21 | 6 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $326.81 – $776.34 | 6 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,989.10 – $5,044.31 | 6 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,120.86 – $2,750.94 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $707.83 – $2,397.11 | 6 |
| Partial excision of lip CPT 40500 | $355.10 | $670.00 | $599.10 – $2,046.43 | 6 |
| Partial hip replacement CPT 27125 | not published | not published | $3,991.96 – $4,417.71 | 5 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,519.39 – $3,792.46 | 6 |
| Partial proctectomy CPT 45113 | not published | not published | $2,955.28 – $7,473.28 | 6 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,748.74 – $4,381.88 | 6 |
| Partial removal donor liver CPT 47140 | not published | not published | $5,444.76 – $13,696.58 | 6 |
| Partial removal donor liver CPT 47141 | not published | not published | $6,503.28 – $16,381.30 | 6 |
| Partial removal donor liver CPT 47142 | not published | not published | $7,145.97 – $18,055.46 | 6 |
| Partial removal finger bone CPT 26235 | not published | not published | $793.19 – $1,935.98 | 6 |
| Partial removal finger bone CPT 26236 | not published | not published | $710.62 – $1,732.70 | 6 |
| Partial removal foot fascia CPT 28060 | $324.89 | $613.00 | $581.18 – $2,104.00 | 6 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,440.80 – $3,434.61 | 6 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,518.53 – $3,829.65 | 6 |
| Partial removal of esophagus CPT 43116 | not published | not published | $7,427.56 – $19,037.57 | 6 |
| Partial removal of esophagus CPT 43118 | not published | not published | $5,425.43 – $13,870.38 | 6 |
| Partial removal of esophagus CPT 43121 | not published | not published | $4,292.23 – $10,921.62 | 6 |
| Partial removal of esophagus CPT 43123 | not published | not published | $6,742.03 – $17,238.08 | 6 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $4,906.59 – $12,438.99 | 6 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $3,875.05 – $9,820.94 | 6 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $767.04 – $1,879.65 | 6 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $877.47 – $2,156.27 | 6 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,042.39 – $2,607.40 | 6 |
| Partial removal of foot bone CPT 28288 | not published | not published | $702.80 – $2,453.24 | 6 |
| Partial removal of hand bone CPT 26230 | not published | not published | $804.90 – $1,964.19 | 6 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $3,003.53 – $7,639.86 | 6 |
| Partial removal of larynx CPT 31367 | not published | not published | $3,501.85 – $8,636.98 | 6 |
| Partial removal of larynx CPT 31368 | not published | not published | $3,870.30 – $9,579.32 | 6 |
| Partial removal of larynx CPT 31370 | not published | not published | $3,291.34 – $8,119.27 | 6 |
| Partial removal of larynx CPT 31375 | not published | not published | $3,128.88 – $7,707.55 | 6 |
| Partial removal of larynx CPT 31380 | not published | not published | $3,085.67 – $7,600.74 | 6 |
| Partial removal of larynx CPT 31382 | not published | not published | $3,377.02 – $8,333.78 | 6 |
| Partial removal of lip CPT 40530 | not published | not published | $653.04 – $2,160.50 | 6 |
| Partial removal of liver CPT 47125 | not published | not published | $4,686.08 – $11,837.40 | 6 |
| Partial removal of liver CPT 47130 | not published | not published | $5,032.09 – $12,710.66 | 6 |
| Partial removal of lung 32480 CPT 32480 | $3,401.54 | $6,418.00 | $2,233.73 – $5,651.85 | 6 |
| Partial removal of nose CPT 30150 | not published | not published | $1,305.91 – $3,096.53 | 6 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,494.61 – $6,286.41 | 6 |
| Partial removal of pancreas CPT 48150 | not published | not published | $4,759.05 – $11,991.72 | 6 |
| Partial removal of penis CPT 54120 | not published | not published | $1,006.03 – $2,525.15 | 6 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $2,282.28 – $5,623.03 | 6 |
| Partial removal of radius CPT 25151 | not published | not published | $938.04 – $2,289.48 | 6 |
| Partial removal of radius CPT 25230 | not published | not published | $699.23 – $1,698.30 | 6 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,690.07 – $4,233.54 | 6 |
| Partial removal of rectum CPT 45114 | not published | not published | $2,770.08 – $6,983.98 | 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.