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 |
|---|---|---|---|---|
| Partial removal of rectum CPT 45116 | not published | not published | $2,446.81 – $6,160.82 | 6 |
| Partial removal of rib CPT 21600 | not published | not published | $891.21 – $2,147.46 | 6 |
| Partial removal of sternum CPT 21620 | not published | not published | $786.16 – $1,957.14 | 6 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,115.88 – $2,753.19 | 6 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,474.41 – $3,635.14 | 6 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,321.58 – $3,260.69 | 6 |
| Partial removal of toe CPT 28160 | $305.81 | $577.00 | $431.97 – $1,677.19 | 6 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,718.00 – $4,210.45 | 6 |
| Partial removal of tongue CPT 41130 | not published | not published | $2,115.51 – $5,194.50 | 6 |
| Partial removal of ulna CPT 25119 | not published | not published | $806.68 – $1,952.34 | 6 |
| Partial removal of ulna CPT 25150 | not published | not published | $910.55 – $2,217.44 | 6 |
| Partial removal of ulna CPT 25240 | not published | not published | $694.13 – $1,686.13 | 6 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $860.95 – $2,040.78 | 6 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,715.10 – $4,018.49 | 6 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,111.05 – $2,748.03 | 6 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,577.79 – $3,946.29 | 6 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,552.18 – $3,696.89 | 6 |
| Part removal of metatarsal CPT 28110 | $354.57 | $669.00 | $472.53 – $1,867.96 | 6 |
| Part removal of metatarsal CPT 28113 | $437.78 | $826.00 | $691.58 – $2,369.19 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | $435.66 | $822.00 | $506.91 – $1,963.37 | 6 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,411.73 – $3,432.11 | 6 |
| Passy muir valve metal trach HCPCS L8501 | $227.90 | $430.00 | $120.56 – $174.37 | 4 |
| Path clin consltj high 41-60 CPT 80505 | $258.64 | $488.00 | $133.09 – $367.00 | 11 |
| Path clin consltj mod 21-40 CPT 80504 | $258.64 | $488.00 | $73.54 – $367.00 | 11 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $54.08 – $145.73 | 8 |
| Path clin consltj sf 5-20 CPT 80503 | $82.15 | $155.00 | $36.86 – $114.42 | 11 |
| Patient recorded spirometry CPT 94014 | not published | not published | $72.93 – $854.61 | 9 |
| Patient recorded spirometry CPT 94015 | not published | not published | $49.98 – $666.91 | 9 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $832.17 | 16 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $345.30 – $10,515.00 | 7 |
| Pdgfra gene CPT 81314 | $1,291.61 | $2,437.00 | $329.51 – $1,031.25 | 16 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $24.38 | $46.00 | $22.91 – $33.15 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $193.43 – $765.72 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,171.83 – $3,549.08 | 6 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $900.80 – $1,497.69 | 6 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $542.74 – $899.43 | 6 |
| Ped crit care transport CPT 99466 | not published | not published | $376.77 – $598.61 | 6 |
| Ped crit care transport addl CPT 99467 | not published | not published | $189.67 – $303.98 | 6 |
| Ped critical care initial CPT 99471 | not published | not published | $1,257.73 – $2,259.38 | 6 |
| Ped critical care subsq CPT 99472 | not published | not published | $635.32 – $1,063.76 | 6 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $75.46 – $335.08 | 9 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $152.31 – $779.18 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | $839.52 | $1,584.00 | $1,042.20 – $3,158.60 | 6 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $817.39 | $1,542.25 | $32.97 – $261.42 | 10 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $579.00 | $1,092.46 | $158.31 – $380.58 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $579.00 | $1,092.46 | $157.02 – $373.75 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,575.16 | $2,972.00 | $95.45 – $401.74 | 10 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,281.54 | $2,418.00 | $90.90 – $401.74 | 10 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,113.53 | $2,101.00 | $85.22 – $245.18 | 10 |
| Pelvic exenteration CPT 45126 | not published | not published | $4,282.61 – $10,893.74 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,753.88 | $5,196.00 | $171.96 – $828.27 | 10 |
| Pelvic MRI (with contrast) CPT 72196 | $1,995.98 | $3,766.00 | $135.95 – $828.27 | 10 |
| Pelvic MRI (without contrast) CPT 72195 | $2,288.54 | $4,318.00 | $114.56 – $517.79 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $604.20 | $1,140.00 | $54.16 – $245.18 | 10 |
| Pelvic Ultrasound (limited) CPT 76857 | $435.13 | $821.00 | $39.02 – $245.18 | 10 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $86.90 | $163.96 | $62.00 – $118.70 | 8 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $82.15 | $155.00 | $5.43 – $31.83 | 11 |
| Peng benzathine/procaine inj HCPCS J0558 | $13.78 | $26.00 | $15.96 – $25.38 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $36.52 | $68.91 | $20.83 – $66.28 | 10 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $2.23 | $4.21 | $0.90 – $3.26 | 10 |
| Penicillin g procaine inj HCPCS J2510 | $35.51 | $67.00 | $30.50 – $43.84 | 3 |
| Penile injection CPT 54235 | not published | not published | $117.05 – $520.87 | 9 |
| Penile vascular study CPT 93980 | $1,398.14 | $2,638.00 | $93.77 – $227.74 | 9 |
| Penile vascular study CPT 93981 | not published | not published | $34.27 – $227.74 | 9 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,788.82 – $1,944.67 | 5 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,146.46 – $2,884.56 | 6 |
| Penis study CPT 54240 | not published | not published | $67.68 – $666.91 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | $137.27 | $259.00 | $86.16 – $171.63 | 10 |
| Perc cryo ablate renal tum CPT 50593 | $9,154.69 | $17,273.00 | $726.33 – $17,309.05 | 6 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $18,160.98 | $34,266.00 | $27,979.00 – $28,450.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,872.44 | $29,948.00 | $27,979.00 – $28,450.00 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $17,589.11 | $33,187.00 | $27,979.00 – $28,450.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,444.84 | $31,028.00 | $27,979.00 – $28,450.00 | 3 |
| Perc rf ablate renal tumor CPT 50592 | $6,683.83 | $12,611.00 | $544.53 – $12,802.46 | 6 |
| Percut ablate liver rf CPT 47382 | $4,235.23 | $7,991.00 | $1,167.90 – $17,632.69 | 6 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $142.57 | $269.00 | $52.65 – $130.30 | 12 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $332.79 – $879.78 | 6 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $8,672.47 – $9,456.81 | 5 |
| Pericardiocentesis wwo imaging CPT 33016 | $7,049.00 | $13,300.00 | $353.67 – $909.75 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,248.73 – $3,160.20 | 6 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,130.31 – $3,100.79 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $434.20 – $1,057.06 | 6 |
| Peripheral vascular rehab CPT 93668 | $145.22 | $274.00 | $23.17 – $127.20 | 9 |
| Peri-proc device eval icd CPT 93287 | $279.84 | $528.00 | $36.50 – $85.03 | 6 |
| Peri-proc device eval pm CPT 93286 | $380.01 | $717.00 | $24.04 – $56.98 | 6 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $650.27 – $1,695.51 | 6 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $36.04 – $1,174.27 | 10 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $68.94 – $860.57 | 10 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,634.32 | $8,744.00 | $1,265.39 – $3,197.34 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | $18,776.31 | $35,427.00 | $1,182.93 – $3,039.74 | 6 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $201.77 – $3,102.14 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $158.78 – $1,506.85 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,781.40 – $5,107.45 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,105.82 – $3,474.96 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $25,993.32 | $49,044.00 | $2,761.95 – $3,417.80 | 5 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $42,061.33 | $79,361.00 | $2,343.15 – $2,899.56 | 5 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $25,993.32 | $49,044.00 | $2,426.49 – $3,002.64 | 5 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $25,993.32 | $49,044.00 | $1,845.77 – $2,284.07 | 5 |
| Perq p-art revsc each addl CPT 33904 | $12,996.13 | $24,521.00 | $926.39 – $1,146.36 | 5 |
| Perq plmt bile duct stent CPT 47538 | $3,726.96 | $7,032.00 | $369.70 – $17,110.00 | 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.