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 |
|---|---|---|---|---|
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $186.83 | 16 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,310.94 – $3,099.56 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $191.33 | $361.00 | $95.13 – $259.22 | 9 |
| Pt evaluation low complexity patient/family CPT 97161 | $77.91 | $147.00 | $95.13 – $259.22 | 9 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $152.64 | $288.00 | $95.13 – $259.22 | 9 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $4.39 – $63.80 | 9 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $22.61 – $93.09 | 9 |
| Pt prgrm for implt neurostim HCPCS L8681 | $1,179.86 | $2,226.15 | $1,144.82 – $1,655.89 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $82.68 | $156.00 | $65.63 – $175.79 | 9 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $87.45 | $165.00 | $39.75 – $161.88 | 9 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $27.03 | $51.00 | $19.86 – $49.80 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $74.73 | $141.00 | $27.97 – $92.00 | 9 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $54.06 | $102.00 | $28.76 – $84.94 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $152.11 | $287.00 | $29.87 – $99.69 | 9 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $965.43 – $2,240.46 | 6 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $478.41 – $1,116.81 | 6 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,775.00 – $18,425.00 | 9 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $6,235.72 – $16,085.82 | 6 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,513.26 – $3,806.73 | 6 |
| Pulmonary vent imaging CPT 78579 | $1,122.54 | $2,118.00 | $37.89 – $860.57 | 10 |
| Pulse ox continuous overnight monitoring CPT 94762 | $504.56 | $952.00 | $41.23 – $335.08 | 9 |
| Pulse ox multiple CPT 94761 | not published | not published | $5.66 – $15.35 | 6 |
| Pulse ox single CPT 94760 | $54.59 | $103.00 | $3.47 – $9.70 | 6 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $88.28 – $1,483.13 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $174.37 | $329.00 | $111.82 – $276.06 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $2,056.93 | $3,881.00 | $154.99 – $855.65 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $75.75 – $341.16 | 6 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,098.16 | $2,072.00 | $96.88 – $1,483.13 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | $398.56 | $752.00 | $81.92 – $535.09 | 9 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $78.32 – $298.65 | 6 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $131.68 – $1,483.13 | 9 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $125.24 – $1,483.13 | 9 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,774.46 – $4,485.61 | 5 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,556.03 – $3,928.01 | 6 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,503.92 – $3,796.03 | 6 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,634.96 – $4,130.38 | 6 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,426.11 – $3,592.63 | 6 |
| Pyruvate CPT 84210 | $74.20 | $140.00 | $14.48 – $47.00 | 16 |
| Pyruvate kinase CPT 84220 | $86.92 | $164.00 | $9.44 – $41.27 | 16 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $16.93 – $276.06 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,986.44 | $3,748.00 | $64.46 – $1,152.80 | 10 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,554.07 | $4,819.00 | $55.96 – $860.57 | 10 |
| Quest t3 uptake CPT 84479 | $68.90 | $130.00 | $6.47 – $28.64 | 16 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $347.32 – $1,545.98 | 12 |
| Rabies ig ht&sol human im/sc CPT 90377 | $575.29 | $1,085.45 | $241.15 – $1,218.05 | 15 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $315.88 | $596.00 | $289.91 – $1,145.12 | 15 |
| Rabies vaccine id CPT 90676 | $171.72 | $324.00 | $235.13 – $581.83 | 9 |
| Radial keratotomy CPT 65771 | not published | not published | $1,008.87 – $2,470.78 | 6 |
| Radiation handling CPT 77790 | not published | not published | $19.50 – $39.30 | 6 |
| Radiation physics consult CPT 77336 | $567.63 | $1,071.00 | $129.25 – $284.35 | 9 |
| Radiation therapy dose plan CPT 77300 | $504.56 | $952.00 | $53.80 – $284.35 | 9 |
| Radiation therapy management CPT 77431 | not published | not published | $174.66 – $333.83 | 6 |
| Radiation treatment aid(s) CPT 77332 | $619.04 | $1,168.00 | $23.17 – $284.35 | 9 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $30.49 – $284.35 | 9 |
| Radiation treatment aid(s) CPT 77334 | $1,007.00 | $1,900.00 | $99.81 – $783.99 | 9 |
| Radiation treatment delivery CPT 77401 | not published | not published | $63.44 – $234.52 | 9 |
| Radiation treatment delivery CPT 77402 | $795.00 | $1,500.00 | $106.60 – $463.74 | 9 |
| Radiation treatment delivery CPT 77412 | $1,839.10 | $3,470.00 | $256.01 – $895.89 | 9 |
| Radiation tx management x5 CPT 77427 | not published | not published | $311.58 – $607.62 | 6 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,879.55 – $7,130.64 | 6 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,359.09 – $5,883.25 | 6 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $3,026.26 – $7,592.46 | 6 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,762.48 – $6,907.48 | 6 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,873.79 – $4,601.55 | 6 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,079.29 – $4,709.42 | 6 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,627.48 – $4,073.43 | 6 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,227.58 – $5,567.76 | 6 |
| Radiology port images(s) CPT 77417 | $333.90 | $630.00 | $22.07 – $35.07 | 6 |
| Radiotherapy dose plan imrt CPT 77301 | $4,980.94 | $9,398.00 | $694.11 – $1,362.65 | 6 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,267.98 | $6,166.00 | $61.05 – $2,938.37 | 7 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,267.98 | $6,166.00 | $76.98 – $2,938.37 | 7 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $4,436.63 | $8,371.00 | $138.58 – $2,938.37 | 7 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,267.98 | $6,166.00 | $82.67 – $2,938.37 | 7 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,283.66 | $2,422.00 | $49.64 – $860.57 | 10 |
| Radphm quant measure sgl area add-on CPT 78835 | $307.40 | $580.00 | $35.10 – $74.97 | 6 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,419.05 – $6,038.81 | 6 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,746.97 – $4,363.75 | 6 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $4,647.61 – $5,135.29 | 5 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,613.06 – $4,033.58 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,142.23 – $2,873.44 | 6 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,053.51 – $5,140.54 | 6 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,181.09 – $2,911.29 | 6 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,669.99 – $4,119.39 | 6 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,108.15 – $5,248.66 | 6 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,494.49 – $3,714.60 | 6 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $69.43 | $131.00 | $76.89 – $120.30 | 6 |
| Range of motion measurements CPT 95852 | not published | not published | $8.70 – $68.34 | 9 |
| Rapid desensitization CPT 95180 | $1,651.48 | $3,116.00 | $225.61 – $854.61 | 9 |
| Rapid Strep Test CPT 87880 | $83.74 | $158.00 | $16.53 – $52.73 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $345.03 | $651.00 | $391.99 – $610.45 | 6 |
| Rbc count only automated CPT 85041 | $14.84 | $28.00 | $3.02 – $12.60 | 16 |
| Rbc deglycerolized each unit HCPCS P9039 | $556.50 | $1,050.00 | $702.49 – $702.49 | 1 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $75.67 – $936.30 | 9 |
| Rbc mechanical fragility CPT 85547 | $34.98 | $66.00 | $8.60 – $37.82 | 16 |
| Rbc osmotic fragility CPT 85555 | $25.97 | $49.00 | $7.47 – $28.64 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $36.67 – $854.61 | 12 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $281.23 – $619.23 | 6 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $195.55 – $379.03 | 6 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $209.24 – $451.55 | 6 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $110.19 – $219.23 | 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.