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 |
|---|---|---|---|---|
| Prepare donor heart/lung CPT 33933 | not published | not published | $673.66 – $1,567.55 | 6 |
| Prepare donor intestine CPT 44715 | not published | not published | $549.01 – $1,351.40 | 6 |
| Prepare donor lung double CPT 32856 | not published | not published | $587.88 – $1,367.97 | 6 |
| Prepare donor lung single CPT 32855 | not published | not published | $487.17 – $1,133.61 | 6 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $52.01 – $114.42 | 9 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $114.97 – $444.24 | 5 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,634.30 – $6,689.85 | 6 |
| Prepare penis study CPT 54230 | not published | not published | $126.24 – $399.22 | 6 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $293.50 – $745.26 | 6 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $487.12 – $1,133.49 | 6 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $113.24 – $441.60 | 6 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $576.47 – $1,470.14 | 6 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $412.08 – $1,050.71 | 6 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $841.89 – $1,959.02 | 6 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $575.94 – $1,467.76 | 6 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $841.89 – $1,959.02 | 6 |
| Prep donor liver/venous CPT 47146 | not published | not published | $493.92 – $1,258.29 | 6 |
| Prep donor liver whole CPT 47143 | not published | not published | $841.89 – $1,959.02 | 6 |
| Prep donor pancreas CPT 48551 | not published | not published | $386.61 – $899.62 | 6 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $354.26 – $903.48 | 6 |
| Prep donor renal graft CPT 50325 | not published | not published | $286.64 – $666.99 | 6 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $248.05 – $631.28 | 6 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $286.52 – $729.64 | 6 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $273.11 – $696.10 | 6 |
| Prep renal graft/venous CPT 50327 | not published | not published | $327.52 – $832.75 | 6 |
| Prep skin to 100cm2 other CPT 15004 | $253.34 | $478.00 | $411.69 – $1,583.46 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $342.43 – $1,378.01 | 6 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $73.67 | $139.00 | $69.04 – $283.27 | 6 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $152.31 – $335.08 | 3 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $335.75 – $851.32 | 6 |
| Pressure velocity wire add ves CPT 93572 | $1,579.40 | $2,980.00 | $79.64 – $244.99 | 6 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $403.86 | $762.00 | $46.69 – $367.00 | 12 |
| Pretreat rbc absorption reference CPT 86978 | $206.17 | $389.00 | $36.67 – $127.20 | 12 |
| Pretreat rbc density gradient separation reference CPT 86972 | $29.68 | $56.00 | $21.83 – $367.00 | 12 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $82.68 | $156.00 | $21.83 – $127.20 | 12 |
| Pretreat rbc w enzyme reference CPT 86971 | $281.96 | $532.00 | $21.83 – $367.00 | 12 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $405.98 | $766.00 | $156.41 – $578.09 | 9 |
| Preventive counseling group CPT 99411 | $25.44 | $48.00 | $12.10 – $47.50 | 6 |
| Preventive counseling group CPT 99412 | $32.33 | $61.00 | $20.23 – $60.07 | 6 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $38.78 – $94.13 | 6 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $78.34 – $160.34 | 6 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $117.11 – $225.01 | 6 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $156.09 – $289.70 | 6 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $80.03 | $151.00 | $133.03 – $503.07 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $261.97 – $873.71 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,827.44 | $3,448.00 | $163.79 – $855.65 | 9 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,085.46 – $5,242.71 | 6 |
| Prgrmg dev eval impltbl sys CPT 93260 | $128.79 | $243.00 | $36.30 – $101.82 | 9 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $261.82 | $494.00 | $36.30 – $100.57 | 9 |
| Prgrmg dev eval scrms ip CPT 93285 | $170.13 | $321.00 | $36.30 – $96.76 | 9 |
| Prgrmg eval implantable dfb CPT 93282 | $595.72 | $1,124.00 | $36.30 – $108.15 | 9 |
| Prgrmg eval implantable dfb CPT 93283 | $622.22 | $1,174.00 | $36.30 – $118.29 | 9 |
| Prgrmg eval implantable dfb CPT 93284 | $622.22 | $1,174.00 | $36.30 – $127.13 | 9 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,766.93 | $10,881.00 | $129.40 – $556.70 | 6 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $281.32 – $524.58 | 6 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $210.14 – $354.71 | 6 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $132.74 – $261.48 | 6 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $192.97 – $270.07 | 6 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $128.25 – $187.37 | 6 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $79.66 – $102.06 | 6 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $9,298.32 | $17,544.00 | $652.80 – $7,964.11 | 6 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,649.16 | $8,772.00 | $245.58 – $2,529.91 | 6 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $79.31 – $198.11 | 9 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $295.43 – $855.65 | 9 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $170.97 – $480.19 | 9 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $204.75 – $651.46 | 9 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $825.21 | $1,557.00 | $169.13 – $855.65 | 9 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $125.45 – $596.72 | 9 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $125.45 – $443.37 | 9 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $230.55 | $435.00 | $19.50 – $181.23 | 6 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $963.83 – $2,329.87 | 6 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $206.36 – $685.92 | 9 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $217.16 – $588.21 | 6 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $357.63 – $1,550.21 | 6 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $252.84 – $3,126.78 | 6 |
| Procalcitonin CPT 84145 | $174.90 | $330.00 | $27.22 – $116.92 | 16 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $10.00 | $18.86 | $3.39 – $10.46 | 11 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.66 | $1.24 | $0.46 – $1.10 | 8 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,870.33 – $7,310.26 | 6 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,842.76 – $7,175.00 | 6 |
| Proctosigmoidoscopy ablate CPT 45320 | $277.19 | $523.00 | $159.65 – $848.78 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $258.11 | $487.00 | $174.00 – $854.61 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $2,053.75 | $3,875.00 | $134.06 – $3,817.55 | 6 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $155.82 | $294.00 | $76.16 – $1,952.57 | 9 |
| Proctosigmoidoscopy removal CPT 45308 | $261.82 | $494.00 | $129.20 – $752.53 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | $286.20 | $540.00 | $137.33 – $788.76 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $293.09 | $553.00 | $161.53 – $806.55 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $157.39 – $397.09 | 6 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $267.65 | $505.00 | $114.56 – $683.64 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $267.12 | $504.00 | $153.03 – $814.14 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $178.16 – $449.57 | 6 |
| Progesterone CPT 84144 | $122.43 | $231.00 | $20.86 – $84.92 | 16 |
| Prolactin CPT 84146 | $161.65 | $305.00 | $19.38 – $84.82 | 16 |
| Prolng clin staff svc 1st hr CPT 99415 | $12.72 | $24.00 | $22.37 – $30.28 | 6 |
| Prolng clin staff svc ea add CPT 99416 | $7.42 | $14.00 | $1.44 – $13.86 | 6 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $98.23 – $99.57 | 5 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $63.60 | $120.00 | $48.99 – $82.03 | 5 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $193.78 – $193.78 | 1 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $137.63 – $137.63 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $148.00 – $283.05 | 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.