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 |
|---|---|---|---|---|
| Perq plmt bile duct stent CPT 47539 | $4,433.98 | $8,366.00 | $667.74 – $18,861.11 | 6 |
| Perq plmt bile duct stent CPT 47540 | $4,877.06 | $9,202.00 | $691.54 – $19,245.15 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $135.91 – $1,341.11 | 9 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $855.58 – $2,082.14 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $790.99 – $1,915.73 | 6 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $151.06 – $151.06 | 1 |
| Perq transcath closure each CPT 93592 | $21,837.59 | $41,203.00 | $622.03 – $18,652.00 | 6 |
| Perq transcath closure pda CPT 93582 | $47,947.51 | $90,467.00 | $989.13 – $18,652.00 | 6 |
| Perq transcath cls aortic CPT 93591 | $43,673.59 | $82,403.00 | $1,413.01 – $18,652.00 | 6 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,709.72 – $18,652.00 | 6 |
| Perq transcath septal reduxn CPT 93583 | $47,947.51 | $90,467.00 | $1,110.17 – $18,652.00 | 6 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $868.84 – $2,249.14 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $402.41 – $1,805.19 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $531.35 – $1,699.49 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $762.30 – $2,822.03 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,210.77 – $2,936.22 | 6 |
| Pertussis ag if CPT 87265 | $68.90 | $130.00 | $11.98 – $52.73 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $22.07 | $41.65 | $16.57 – $32.46 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $117.48 | $221.66 | $79.42 – $208.04 | 10 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $46.11 | $87.00 | $59.16 – $85.58 | 4 |
| Pessary reusable rub anytype HCPCS A4561 | $46.11 | $87.00 | $23.81 – $46.34 | 6 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $186.88 – $3,330.77 | 7 |
| Pet CT whole body initial CPT 78816 | not published | not published | $188.51 – $3,330.77 | 7 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $113.76 – $3,330.77 | 7 |
| Pet image full body CPT 78813 | not published | not published | $150.04 – $3,330.77 | 7 |
| Pet image ltd area CPT 78811 | not published | not published | $116.08 – $2,938.37 | 7 |
| Pet image skull-thigh CPT 78812 | not published | not published | $148.02 – $3,330.77 | 7 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $168.50 – $3,330.77 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.03 – $9,528.00 | 7 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $76.85 | $145.00 | $23.20 – $98.05 | 9 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $113.95 | $215.00 | $32.21 – $144.56 | 9 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $39.22 | $74.00 | $12.53 – $50.73 | 9 |
| Phalangectomy ea toe 28150 CPT 28150 | $306.87 | $579.00 | $451.77 – $1,698.14 | 6 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $38.78 – $95.39 | 5 |
| Ph body fluid CPT 83986 | $28.09 | $53.00 | $3.58 – $16.05 | 16 |
| Phencyclidine (pcp) CPT 83992 | $110.77 | $209.00 | $30.23 – $64.19 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $79.81 | $150.59 | $40.79 – $120.11 | 10 |
| Phenobarbital therapeutic drug level CPT 80184 | $96.46 | $182.00 | $15.30 – $50.42 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | $898.51 | $1,695.30 | $477.26 – $1,397.45 | 10 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $7.84 | $14.80 | $0.01 – $0.03 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.45 | $0.85 | $0.57 – $0.78 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $102.82 | $194.00 | $13.25 – $57.32 | 16 |
| Phlebotomy therapeutic CPT 99195 | $175.96 | $332.00 | $125.48 – $356.13 | 9 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,937.15 | $3,655.00 | $1,723.07 – $2,302.50 | 5 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $427.71 | $807.00 | $503.06 – $2,735.63 | 6 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $70.20 – $178.43 | 5 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $103.66 – $259.52 | 5 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $36.20 – $107.67 | 5 |
| Phosphorus CPT 84100 | $38.16 | $72.00 | $4.74 – $20.64 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $40.28 | $76.00 | $5.78 – $22.91 | 16 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $142.57 | $269.00 | $57.82 – $413.96 | 9 |
| Photochemotherapy puva CPT 96912 | $181.79 | $343.00 | $57.82 – $353.98 | 9 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $248.83 – $855.65 | 9 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $40.61 – $94.61 | 6 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $84.86 – $198.14 | 6 |
| Photo patch test CPT 95052 | $24.91 | $47.00 | $10.03 – $127.20 | 9 |
| Photopheresis CPT 36522 | not published | not published | $155.52 – $7,669.99 | 6 |
| Photosensitivity tests CPT 95056 | not published | not published | $82.45 – $276.06 | 9 |
| Phys blood bank serv authrj CPT 86079 | $82.15 | $155.00 | $24.95 – $182.71 | 15 |
| Phys blood bank serv reactj CPT 86078 | $258.64 | $488.00 | $53.33 – $367.00 | 15 |
| Phys blood bank serv xmatch CPT 86077 | $45.05 | $85.00 | $23.84 – $184.99 | 15 |
| Physician standby services CPT 99360 | not published | not published | $95.57 – $160.00 | 6 |
| Phys review of motion tests CPT 96004 | not published | not published | $175.61 – $410.07 | 6 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $50.46 | $95.21 | $3.26 – $8.85 | 11 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $49.03 – $118.41 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,572.51 | $2,967.00 | $548.53 – $1,805.33 | 7 |
| Pik3ca gene trgt seq alys CPT 81309 | $491.31 | $927.00 | $274.83 – $867.68 | 13 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $595.90 – $2,308.75 | 9 |
| Pin finger dislocation CPT 26776 | not published | not published | $730.25 – $1,757.18 | 6 |
| Pin finger fracture each CPT 26756 | not published | not published | $691.32 – $1,660.38 | 6 |
| Pin hand dislocation CPT 26676 | not published | not published | $827.63 – $1,988.54 | 6 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $726.61 – $1,735.78 | 6 |
| Pinworm exam CPT 87172 | $22.26 | $42.00 | $4.27 – $18.32 | 16 |
| Pinworm examinations HCPCS Q0113 | $96.99 | $183.00 | $4.48 – $16.49 | 13 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $8.03 | $15.16 | $1.43 – $3.60 | 11 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $2,636.32 | 16 |
| Place breast cath for rad CPT 19297 | not published | not published | $142.80 – $362.97 | 6 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $515.98 – $3,967.90 | 6 |
| Place cath intracranial art CPT 36228 | $7,089.28 | $13,376.00 | $362.66 – $5,222.46 | 6 |
| Place cath xtrnl carotid CPT 36227 | $7,186.27 | $13,559.00 | $178.14 – $966.86 | 6 |
| Place cecostomy tube perc CPT 49442 | $1,272.00 | $2,400.00 | $330.55 – $3,543.30 | 6 |
| Place duod/jej tube perc CPT 49441 | $2,134.31 | $4,027.00 | $375.04 – $4,221.48 | 6 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,602.66 – $4,014.06 | 6 |
| Place gastrostomy tube perc CPT 49440 | $2,480.93 | $4,681.00 | $321.93 – $3,737.56 | 6 |
| Placement bile duct support CPT 47801 | not published | not published | $1,717.03 – $4,302.21 | 6 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,277.94 | $4,298.00 | $158.42 – $979.00 | 6 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,138.97 | $2,149.00 | $79.66 – $690.07 | 6 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,370.69 | $4,473.00 | $135.12 – $1,820.65 | 9 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,885.43 | $7,331.00 | $324.14 – $3,550.35 | 6 |
| Placement of drain pancreas CPT 48001 | not published | not published | $3,508.48 – $8,871.42 | 6 |
| Placement of seton CPT 46020 | not published | not published | $182.44 – $1,110.90 | 6 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $12,462.42 | $23,514.00 | $660.13 – $14,459.55 | 6 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $544.97 – $1,314.30 | 6 |
| Place needles h&n for right CPT 41019 | not published | not published | $793.73 – $1,961.03 | 6 |
| Place needles pelvic for right CPT 55920 | not published | not published | $747.52 – $1,841.43 | 6 |
| Place non-slctv cath thoracic arta CPT 36221 | $17,045.86 | $32,162.00 | $299.03 – $4,171.75 | 6 |
| Placental lactogen CPT 83632 | $65.72 | $124.00 | $20.22 – $88.27 | 16 |
| Place po breast cath for rad CPT 19296 | not published | not published | $320.26 – $15,989.75 | 6 |
| Place right device/marker pros CPT 55876 | $3,089.37 | $5,829.00 | $162.20 – $580.52 | 6 |
| Place slctv cath carotd art uni CPT 36224 | $12,177.81 | $22,977.00 | $543.29 – $8,176.51 | 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.