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 |
|---|---|---|---|---|
| Reconstruction of urethra CPT 54312 | not published | not published | $1,300.45 – $3,274.10 | 6 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,575.64 – $3,985.00 | 6 |
| Reconstruction of urethra CPT 54318 | not published | not published | $1,132.69 – $2,846.30 | 6 |
| Reconstruction of urethra CPT 54322 | not published | not published | $1,240.56 – $3,126.82 | 6 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,534.64 – $3,873.97 | 6 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,494.27 – $3,776.80 | 6 |
| Reconstruction tongue fold CPT 41520 | $230.02 | $434.00 | $407.78 – $1,411.84 | 6 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $4,719.80 – $11,775.65 | 6 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,011.19 – $2,443.11 | 6 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $884.02 – $2,179.60 | 6 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $2,171.39 – $5,499.66 | 6 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $2,559.21 – $6,424.70 | 6 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $3,160.83 – $7,707.88 | 6 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,887.49 – $4,692.20 | 6 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,270.62 – $5,669.44 | 6 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $1,419.53 – $3,479.10 | 6 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,573.76 – $4,607.62 | 6 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,823.78 – $4,614.14 | 6 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,334.26 – $3,366.22 | 6 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,483.64 – $3,746.29 | 6 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $2,319.00 – $5,934.83 | 6 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,916.55 – $4,703.07 | 6 |
| Reconstruct windpipe CPT 31781 | not published | not published | $2,294.44 – $5,287.20 | 6 |
| Rectal sensation test CPT 91120 | not published | not published | $78.49 – $666.91 | 9 |
| Red blood cells each unit HCPCS P9021 | $299.98 | $566.00 | $230.38 – $230.38 | 1 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $601.55 | $1,135.00 | $426.68 – $426.68 | 1 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $605.26 | $1,142.00 | $321.66 – $321.66 | 1 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $607.38 | $1,146.00 | $440.50 – $440.50 | 1 |
| Red blood cells washed each unit HCPCS P9022 | $369.94 | $698.00 | $672.83 – $672.83 | 1 |
| Red cell mass multiple CPT 78121 | $187.09 | $353.00 | $21.35 – $1,152.80 | 10 |
| Red cell mass single CPT 78120 | not published | not published | $15.62 – $860.57 | 10 |
| Red cell sequestration CPT 78140 | not published | not published | $40.80 – $860.57 | 10 |
| Red cell survival kinetics CPT 78135 | not published | not published | $45.87 – $45.87 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $40.80 – $860.57 | 10 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $5,115.15 – $13,102.82 | 6 |
| Redo endovas vena cava filtr CPT 37192 | $6,971.09 | $13,153.00 | $505.80 – $5,437.60 | 6 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,438.23 – $3,608.66 | 6 |
| Reduce testis torsion CPT 54600 | not published | not published | $722.57 – $1,812.24 | 6 |
| Reduction of facial bones CPT 21209 | not published | not published | $1,007.67 – $3,213.05 | 6 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $330.29 – $1,952.57 | 9 |
| Reduction of skull defect CPT 62115 | not published | not published | $2,519.66 – $6,185.30 | 6 |
| Reduction of skull defect CPT 62117 | not published | not published | $2,908.60 – $7,211.49 | 6 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $1,326.66 – $3,344.74 | 6 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $573.34 – $1,419.01 | 6 |
| Re-explore parathyroids CPT 60502 | not published | not published | $2,020.01 – $5,009.75 | 6 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $63.68 – $632.19 | 9 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $188.50 – $451.22 | 9 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $103.16 | $194.64 | $3.74 – $106.02 | 11 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $215.95 – $560.10 | 6 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,700.83 – $4,298.28 | 6 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,782.62 – $4,507.95 | 6 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,915.95 – $4,838.08 | 6 |
| Reinforce clavicle CPT 23490 | not published | not published | $1,362.70 – $3,361.84 | 6 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,475.48 – $3,353.80 | 6 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $1,110.20 – $2,722.85 | 6 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,573.30 – $3,884.26 | 6 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,604.10 – $3,961.54 | 6 |
| Reinforce thigh CPT 27495 | not published | not published | $1,780.00 – $4,400.08 | 6 |
| Reinforce tibia CPT 27745 | not published | not published | $1,199.43 – $2,972.62 | 6 |
| Reinnervate larynx CPT 31590 | not published | not published | $1,510.30 – $3,463.48 | 6 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,996.65 – $4,958.50 | 6 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,576.68 – $3,600.50 | 6 |
| Release encircling material CPT 67115 | not published | not published | $803.61 – $1,983.38 | 6 |
| Release eye tissue CPT 67343 | not published | not published | $1,080.54 – $2,616.37 | 6 |
| Release facial nerve CPT 69720 | not published | not published | $1,928.68 – $4,647.47 | 6 |
| Release facial nerve CPT 69725 | not published | not published | $3,010.41 – $7,353.56 | 6 |
| Release facial nerve CPT 69955 | not published | not published | $3,165.09 – $7,738.83 | 6 |
| Release finger contracture CPT 26525 | not published | not published | $1,122.83 – $2,618.10 | 6 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $1,124.16 – $2,725.23 | 6 |
| Release inner ear canal CPT 69960 | not published | not published | $3,026.63 – $7,460.81 | 6 |
| Release knuckle contracture CPT 26520 | not published | not published | $1,118.55 – $2,611.78 | 6 |
| Release middle ear bone CPT 69650 | not published | not published | $1,307.01 – $3,147.49 | 6 |
| Release muscles of hand CPT 26593 | not published | not published | $1,054.78 – $2,430.89 | 6 |
| Release of eye fluid CPT 67015 | not published | not published | $978.40 – $2,356.76 | 6 |
| Release of foot tendon CPT 28220 | $298.92 | $564.00 | $494.63 – $1,821.30 | 6 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $427.48 – $1,683.50 | 6 |
| Release of foot tendons CPT 28222 | not published | not published | $589.68 – $2,095.47 | 6 |
| Release of foot tendons CPT 28226 | not published | not published | $639.03 – $2,434.87 | 6 |
| Release of lower leg tendon CPT 27680 | not published | not published | $673.35 – $1,676.82 | 6 |
| Release of lower leg tendons CPT 27681 | not published | not published | $810.95 – $2,037.41 | 6 |
| Release of lung 32220 CPT 32220 | not published | not published | $2,423.98 – $6,083.29 | 6 |
| Release of midfoot joint CPT 28260 | not published | not published | $855.10 – $2,803.66 | 6 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,079.77 – $3,979.75 | 6 |
| Release of shoulder ligament CPT 23415 | not published | not published | $1,112.46 – $2,725.60 | 6 |
| Release of skull seams CPT 61550 | not published | not published | $1,800.52 – $4,395.45 | 6 |
| Release of skull seams CPT 61552 | not published | not published | $2,220.15 – $5,460.67 | 6 |
| Release of ureter CPT 50715 | not published | not published | $1,889.92 – $4,726.93 | 6 |
| Release of ureter CPT 50722 | not published | not published | $1,611.36 – $4,060.27 | 6 |
| Release of ureter CPT 50940 | not published | not published | $1,408.67 – $3,547.53 | 6 |
| Release palm contracture CPT 26040 | not published | not published | $514.10 – $1,234.22 | 6 |
| Release palm contracture CPT 26121 | not published | not published | $963.00 – $2,348.85 | 6 |
| Release palm contracture CPT 26123 | not published | not published | $1,341.76 – $3,276.93 | 6 |
| Release palm contracture CPT 26125 | not published | not published | $419.20 – $1,063.75 | 6 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $761.17 – $1,844.30 | 6 |
| Release palm & finger tendon CPT 26442 | not published | not published | $1,608.35 – $3,815.34 | 6 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,067.31 – $2,488.62 | 6 |
| Release/revise ureter CPT 50725 | not published | not published | $1,743.62 – $4,408.69 | 6 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $2,291.97 – $5,661.90 | 6 |
| Release thumb contracture CPT 26508 | not published | not published | $1,105.26 – $2,555.04 | 6 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $848.66 – $2,065.83 | 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.