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 |
|---|---|---|---|---|
| Prolong serv without contact add CPT 99359 | not published | not published | $69.11 – $136.78 | 6 |
| Promethazine hcl injection HCPCS J2550 | $2.65 | $5.00 | $3.70 – $4.64 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $291.00 – $2,088.99 | 9 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $348.94 – $2,102.44 | 9 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,372.17 – $3,382.42 | 6 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,144.36 – $2,806.70 | 6 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,436.01 – $3,533.75 | 6 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,174.92 – $2,885.74 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.54 | $1.01 | $0.12 – $0.40 | 11 |
| _propoxygc/msur CPT 80367 | $173.31 | $327.00 | $31.67 – $79.09 | 8 |
| Prostate biopsy, any mthd HCPCS G0416 | $358.28 | $676.00 | $211.75 – $342.78 | 11 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,155.20 – $3,011.59 | 6 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,311.18 – $3,300.25 | 6 |
| Prostatic microwave thermotx CPT 53850 | $7,463.99 | $14,083.00 | $568.09 – $7,246.66 | 6 |
| Prostatic rf thermotx CPT 53852 | $6,789.83 | $12,811.00 | $608.58 – $6,680.96 | 6 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $81.85 | $154.44 | $1.18 – $5.06 | 10 |
| Protein analysis w/probe CPT 88372 | not published | not published | $23.54 – $61.14 | 13 |
| Protein c activity CPT 85303 | $147.87 | $279.00 | $13.84 – $60.74 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $88.51 | $167.00 | $10.74 – $47.00 | 16 |
| Protein s total CPT 85305 | $123.49 | $233.00 | $11.61 – $50.42 | 16 |
| Protein total 24 hour urine CPT 84156 | $38.16 | $72.00 | $3.67 – $16.05 | 16 |
| Protein total body fluid CPT 84157 | $38.16 | $72.00 | $4.00 – $16.05 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $30.21 | $57.00 | $3.67 – $16.05 | 16 |
| Protein western blot tissue CPT 88371 | not published | not published | $23.34 – $61.14 | 13 |
| Prothrombin complex kcentra HCPCS J7168 | $4.96 | $9.36 | $3.65 – $9.27 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $45.58 | $86.00 | $3.94 – $17.19 | 16 |
| Proton treatment complex CPT 77525 | not published | not published | $1,565.05 – $3,674.58 | 6 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,469.80 – $3,305.55 | 6 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,238.52 – $2,852.49 | 6 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $563.13 – $2,854.84 | 9 |
| Protoporphyrin rbc screen CPT 84203 | $28.09 | $53.00 | $9.74 – $37.82 | 16 |
| Provide inr test mater/equip HCPCS G0249 | $209.35 | $395.00 | $55.94 – $162.05 | 6 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $687.21 – $1,715.11 | 6 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $910.61 – $2,264.27 | 6 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $90.05 – $221.15 | 9 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $23,863.55 – $29,475.23 | 5 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $33,951.29 – $41,936.52 | 5 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $28,450.00 – $28,450.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $28,450.00 – $28,450.00 | 2 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $22,942.00 – $28,450.00 | 3 |
| Prq card revasc mi 1 vsl CPT 92941 | $21,078.63 | $39,771.00 | $989.67 – $28,450.00 | 6 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $21,078.63 | $39,771.00 | $27,979.00 – $28,450.00 | 3 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $22,942.00 – $28,450.00 | 3 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $22,942.00 – $28,450.00 | 3 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,873.50 | $29,950.00 | $880.17 – $28,450.00 | 6 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $22,942.00 – $28,450.00 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $908.96 – $2,129.66 | 6 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,152.29 – $2,809.48 | 6 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,263.41 – $2,984.39 | 6 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $803.50 – $1,836.60 | 6 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $605.40 – $1,337.34 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $16,444.31 | $31,027.00 | $881.30 – $28,450.00 | 6 |
| Prq trlml c athrc st angiop1 CPT 92933 | $17,589.11 | $33,187.00 | $987.78 – $28,450.00 | 6 |
| Prq trluml c angiop 1art&/br CPT 92920 | $15,301.10 | $28,870.00 | $791.49 – $28,450.00 | 6 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $17,017.24 | $32,108.00 | $944.26 – $28,450.00 | 6 |
| Prq trluml revsc ch occ ant CPT 92943 | $18,160.98 | $34,266.00 | $989.67 – $28,450.00 | 6 |
| Pr removal drug delivery implant CPT 11982 | $115.01 | $217.00 | $115.11 – $854.61 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $147.87 | $279.00 | $75.36 – $349.98 | 9 |
| Pr removal intrauterine device CPT 58301 | $80.03 | $151.00 | $104.14 – $651.46 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $243.27 | $459.00 | $305.30 – $1,200.19 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $107.06 | $202.00 | $85.51 – $430.91 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $109.18 | $206.00 | $89.57 – $448.91 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $95.40 | $180.00 | $69.53 – $425.55 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $90.10 | $170.00 | $91.00 – $431.94 | 9 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,128.99 – $3,388.36 | 6 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $66.44 – $109.14 | 6 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,008.92 – $2,448.03 | 6 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $949.53 – $2,319.12 | 6 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $157.69 – $936.30 | 9 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,046.64 – $2,590.87 | 6 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,072.94 – $2,578.53 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $935.45 | $1,765.00 | $601.14 – $614.10 | 5 |
| PSA (Prostate) Test CPT 84153 | $121.37 | $229.00 | $18.39 – $80.23 | 16 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $3.18 | $6.00 | $3.47 – $52.45 | 9 |
| Psychoanalysis CPT 90845 | not published | not published | $139.03 – $359.05 | 9 |
| Psychophysiological therapy CPT 90875 | not published | not published | $95.57 – $223.67 | 6 |
| Psychophysiological therapy CPT 90876 | not published | not published | $151.95 – $390.68 | 6 |
| Psychotherapy group therapy CPT 90853 | $312.70 | $590.00 | $38.73 – $198.11 | 9 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $199.81 | $377.00 | $110.70 – $344.10 | 9 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $209.35 | $395.00 | $146.54 – $344.10 | 9 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $233.20 | $440.00 | $156.41 – $507.97 | 9 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $179.38 – $666.91 | 9 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $127.86 – $335.29 | 6 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $54.91 – $854.61 | 9 |
| Psy evaluation of records CPT 90885 | not published | not published | $77.76 – $180.26 | 6 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $38.61 – $276.06 | 9 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $29.97 – $156.07 | 6 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $56.56 – $134.75 | 6 |
| Psytx complex interactive CPT 90785 | $48.76 | $92.00 | $21.93 – $55.91 | 6 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $102.27 – $261.18 | 6 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $129.51 – $330.63 | 6 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $171.73 – $435.27 | 6 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $131.44 | $248.00 | $13.77 – $61.84 | 9 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $7.50 – $19.04 | 6 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $118.72 | $224.00 | $18.11 – $84.48 | 9 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $96.99 | $183.00 | $13.40 – $40.16 | 9 |
| Pt application of modality traction mechanical CPT 97012 | $106.53 | $201.00 | $13.77 – $51.68 | 9 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $113.46 – $230.66 | 6 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $128.06 – $938.90 | 16 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,918.78 | 16 |
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.