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 |
|---|---|---|---|---|
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $71.98 – $167.68 | 6 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $68.03 – $159.80 | 6 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $3,487.04 – $8,746.65 | 6 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,680.93 – $6,717.97 | 6 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,401.86 – $6,008.30 | 6 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,510.73 – $6,285.67 | 6 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,621.94 – $6,558.65 | 6 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $3,452.58 – $8,552.81 | 6 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $3,114.81 – $7,708.25 | 6 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,894.69 – $7,285.65 | 6 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $4,481.20 – $11,374.84 | 6 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $4,133.23 – $10,252.17 | 6 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,193.83 – $2,964.42 | 6 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,451.07 – $3,617.51 | 6 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,731.38 – $4,373.14 | 6 |
| Realignment of knee CPT 27457 | not published | not published | $1,514.53 – $3,751.66 | 6 |
| Realignment of knee CPT 27455 | not published | not published | $1,521.55 – $3,716.53 | 6 |
| Realignment of tendons CPT 26437 | not published | not published | $1,089.38 – $2,515.64 | 6 |
| Realignment of thigh bone CPT 27454 | not published | not published | $2,033.03 – $5,052.31 | 6 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,761.88 – $4,226.24 | 6 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,709.49 – $4,095.37 | 6 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $2,296.16 – $5,433.16 | 6 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,824.05 – $4,292.50 | 6 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $2,541.77 – $6,015.73 | 6 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,247.54 – $5,763.62 | 6 |
| Rechanneling of artery CPT 35306 | not published | not published | $653.67 – $1,684.61 | 6 |
| Rechanneling of artery CPT 35311 | not published | not published | $2,337.26 – $5,956.48 | 6 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,396.01 – $6,225.93 | 6 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,813.29 – $4,660.80 | 6 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,051.66 – $5,231.07 | 6 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,882.89 – $4,848.29 | 6 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $2,169.05 – $5,527.78 | 6 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,447.84 – $3,725.14 | 6 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,835.17 – $4,715.57 | 6 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,483.25 – $3,662.41 | 6 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,324.49 – $5,682.44 | 6 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,308.01 – $5,770.05 | 6 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $2,176.32 – $5,532.62 | 6 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,995.15 – $5,005.44 | 6 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $2,015.61 – $5,084.70 | 6 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,559.17 – $3,941.82 | 6 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,647.03 – $4,410.53 | 6 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,645.80 – $4,178.23 | 6 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,523.90 – $3,782.05 | 6 |
| Reconstruct bronchus CPT 31775 | not published | not published | $2,106.52 – $5,338.08 | 6 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,740.36 – $4,265.44 | 6 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,473.82 – $3,718.33 | 6 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,530.31 – $3,871.18 | 6 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,708.98 – $4,319.84 | 6 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,120.57 – $2,821.42 | 6 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $923.98 – $2,323.80 | 6 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,581.78 – $3,881.51 | 6 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $3,332.65 – $8,376.83 | 6 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $3,623.94 – $9,119.79 | 6 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $3,896.06 – $9,815.81 | 6 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $1,429.48 – $3,516.98 | 6 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,591.69 – $3,929.65 | 6 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,673.63 – $4,136.08 | 6 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,735.19 – $4,285.32 | 6 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,748.11 – $4,295.78 | 6 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,652.50 – $4,061.87 | 6 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,194.01 – $2,839.87 | 6 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,299.33 – $3,046.75 | 6 |
| Reconstruct head of radius CPT 24365 | not published | not published | $1,021.53 – $2,500.43 | 6 |
| Reconstruct head of radius CPT 24366 | not published | not published | $1,085.67 – $2,671.36 | 6 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,757.48 – $4,375.77 | 6 |
| Reconstruction knee CPT 27427 | not published | not published | $1,131.40 – $2,784.15 | 6 |
| Reconstruction knee CPT 27428 | not published | not published | $1,765.77 – $4,352.44 | 6 |
| Reconstruction knee CPT 27429 | not published | not published | $1,989.36 – $4,895.56 | 6 |
| Reconstruction of anus CPT 46753 | not published | not published | $963.66 – $2,384.93 | 6 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $2,402.78 – $6,087.68 | 6 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,155.18 – $2,873.85 | 6 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,484.30 – $3,698.00 | 6 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,481.84 – $3,692.13 | 6 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,094.38 – $2,720.47 | 6 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $4,579.59 – $5,065.06 | 5 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $3,870.00 – $4,296.43 | 5 |
| Reconstruction of jaw CPT 21245 | not published | not published | $1,540.23 – $4,841.57 | 6 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,377.31 – $3,452.69 | 6 |
| Reconstruction of jaw CPT 21248 | not published | not published | $1,281.20 – $4,112.67 | 6 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,791.22 – $5,625.57 | 6 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,704.47 – $4,314.10 | 6 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,641.67 – $4,087.00 | 6 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $2,717.47 – $6,575.29 | 6 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,627.17 – $4,064.04 | 6 |
| Reconstruction of midface CPT 21188 | not published | not published | $2,563.92 – $6,514.65 | 6 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,015.80 – $3,313.37 | 6 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,077.97 – $3,598.69 | 6 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,378.79 – $4,685.97 | 6 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,866.53 – $5,881.86 | 6 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,933.78 – $5,815.69 | 6 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $300.85 – $1,177.64 | 6 |
| Reconstruction of nose CPT 30410 | not published | not published | $2,292.35 – $5,474.61 | 6 |
| Reconstruction of nose CPT 30420 | not published | not published | $2,366.21 – $5,569.89 | 6 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,963.11 – $4,898.02 | 6 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,296.61 – $3,165.73 | 6 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,552.34 – $3,914.31 | 6 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,787.74 – $4,519.68 | 6 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,538.08 – $3,866.26 | 6 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,139.07 – $2,863.65 | 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.