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 |
|---|---|---|---|---|
| Biopsy needle lymph node superficial CPT 38505 | $2,496.30 | $4,710.00 | $137.36 – $496.88 | 6 |
| Biopsy of cornea CPT 65410 | not published | not published | $163.85 – $573.80 | 6 |
| Biopsy of epididymis CPT 54800 | not published | not published | $197.12 – $502.25 | 6 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $453.51 – $1,711.91 | 6 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $415.55 – $1,791.45 | 6 |
| Biopsy of heart lining CPT 93505 | $4,667.18 | $8,806.00 | $345.59 – $783.03 | 6 |
| Biopsy of hip joint CPT 27052 | not published | not published | $924.15 – $2,258.57 | 6 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $168.66 – $2,007.94 | 9 |
| Biopsy of lip 40490 CPT 40490 | $148.93 | $281.00 | $111.32 – $497.49 | 9 |
| Biopsy of nail unit 11755 CPT 11755 | $101.76 | $192.00 | $97.90 – $1,506.85 | 9 |
| Biopsy of nerve CPT 64795 | not published | not published | $295.68 – $733.41 | 6 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $700.54 – $1,691.66 | 6 |
| Biopsy of penis CPT 54105 | not published | not published | $339.05 – $1,075.55 | 6 |
| Biopsy of penis 54100 CPT 54100 | $164.30 | $310.00 | $194.07 – $792.90 | 6 |
| Biopsy of prostate CPT 55700 | $272.95 | $515.00 | $204.71 – $988.47 | 6 |
| Biopsy of prostate CPT 55705 | not published | not published | $421.65 – $1,062.64 | 6 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $904.71 | $1,707.00 | $481.46 – $1,177.40 | 6 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $652.00 – $1,575.55 | 6 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,748.47 | $3,299.00 | $85.24 – $1,506.85 | 9 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $365.47 – $1,191.54 | 6 |
| Biopsy of tear gland CPT 68510 | not published | not published | $460.68 – $1,810.44 | 6 |
| Biopsy of tear sac CPT 68525 | not published | not published | $412.91 – $1,047.06 | 6 |
| Biopsy of testis CPT 54500 | not published | not published | $117.95 – $296.47 | 6 |
| Biopsy of testis CPT 54505 | not published | not published | $334.56 – $839.31 | 6 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $380.75 – $1,511.88 | 6 |
| Biopsy of upper nose/throat CPT 42804 | $224.19 | $423.00 | $199.24 – $786.42 | 6 |
| Biopsy of urethra CPT 53200 | not published | not published | $223.21 – $627.38 | 6 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $565.11 – $1,361.24 | 6 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $82.47 – $367.00 | 9 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $82.47 – $367.00 | 9 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $684.50 – $1,690.84 | 6 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $734.96 – $1,807.65 | 6 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,690.28 | $5,076.00 | $201.47 – $2,169.84 | 6 |
| Biopsy roof of mouth CPT 42100 | $101.23 | $191.00 | $177.92 – $587.98 | 6 |
| Biopsy skin incisional single lesion CPT 11106 | $872.38 | $1,646.00 | $89.91 – $1,310.98 | 9 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $261.29 | $493.00 | $250.66 – $1,043.12 | 6 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $1,389.10 – $1,570.96 | 5 |
| Biopsy tongue anterior two-thirds CPT 41100 | $149.46 | $282.00 | $173.35 – $1,090.63 | 9 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $236.47 – $628.41 | 6 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $192.39 | $363.00 | $143.65 – $1,090.63 | 9 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $652.54 – $1,632.17 | 6 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $603.98 – $1,505.40 | 6 |
| Biospy of bladder CPT 53899 | not published | not published | $236.76 – $520.87 | 3 |
| Biotinidase - quest CPT 82261 | $93.81 | $177.00 | $16.87 – $65.76 | 16 |
| Bis xtracell fluid analysis CPT 93702 | $330.72 | $624.00 | $152.31 – $492.54 | 9 |
| Bivalirudin HCPCS J0583 | $2.82 | $5.33 | $0.22 – $0.73 | 10 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $448.38 | $846.00 | $47.50 – $520.87 | 9 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $187.70 – $936.30 | 9 |
| Bld prd mix CPT 86965 | $149.99 | $283.00 | $36.67 – $367.00 | 12 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $81.40 – $936.30 | 9 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $30.74 | $58.00 | $27.18 – $50.27 | 9 |
| Blepharoplasty lower 15820 CPT 15820 | $459.51 | $867.00 | $837.62 – $2,282.76 | 6 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $645.34 – $1,800.39 | 6 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $893.71 – $2,447.45 | 6 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $889.78 – $2,440.24 | 6 |
| Blink reflex test CPT 95933 | $81.09 | $153.00 | $50.58 – $127.20 | 9 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $6,990.00 | 16 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $15.37 | $29.00 | $14.25 – $20.61 | 4 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $125.38 – $1,906.70 | 9 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $116.28 – $1,906.70 | 9 |
| Block paracervical nrv CPT 64435 | $119.25 | $225.00 | $68.36 – $1,483.13 | 9 |
| Block plantar digital nerve CPT 64455 | not published | not published | $54.15 – $632.19 | 9 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $110.75 – $547.19 | 6 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $88.84 – $444.52 | 6 |
| Blood Clotting (PT/INR) Test CPT 85610 | $34.45 | $65.00 | $4.29 – $17.19 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $53.00 | $100.00 | $6.01 – $26.36 | 16 |
| Blood Count (CBC) Test CPT 85025 | $68.37 | $129.00 | $7.77 – $34.37 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $63.60 | $120.00 | $6.47 – $28.64 | 16 |
| Blood count spun microhematocrit CPT 85013 | $20.14 | $38.00 | $4.87 – $21.91 | 16 |
| Blood Culture Test CPT 87040 | $85.33 | $161.00 | $10.32 – $44.69 | 16 |
| Blood draw capillary 36416 CPT 36416 | $15.90 | $30.00 | $3.00 – $7.61 | 9 |
| Blood gases o2 saturation direct measurement CPT 82805 | $155.29 | $293.00 | $58.38 – $246.52 | 16 |
| Blood gases ph venous CPT 82800 | $75.26 | $142.00 | $11.00 – $36.68 | 16 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $83.21 | $157.00 | $15.92 – $68.78 | 16 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $24.91 | $47.00 | $4.23 – $13.77 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $27.03 | $51.00 | $4.38 – $13.77 | 16 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $33.92 | $64.00 | $5.32 – $16.65 | 16 |
| Blood smear interpretation CPT 85060 | $27.56 | $52.00 | $31.29 – $81.74 | 12 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $36.57 | $69.00 | $3.80 – $14.91 | 16 |
| Blood split unit HCPCS P9011 | $259.70 | $490.00 | $95.17 – $236.38 | 6 |
| Blood typing abo CPT 86900 | $67.84 | $128.00 | $3.14 – $276.06 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $190.80 | $360.00 | $6.67 – $770.40 | 16 |
| Blood typing patient serum CPT 86904 | $92.75 | $175.00 | $17.16 – $127.20 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $190.80 | $360.00 | $4.02 – $770.40 | 16 |
| Blood typing rh (d) CPT 86901 | $58.83 | $111.00 | $3.14 – $84.06 | 16 |
| Blood typing rh phenotype complete reference CPT 86906 | $71.55 | $135.00 | $8.14 – $84.06 | 16 |
| Blood volume CPT 78122 | not published | not published | $33.95 – $1,152.80 | 10 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $223.47 – $581.18 | 6 |
| Bone Density Scan (DEXA) CPT 77080 | $307.40 | $580.00 | $15.54 – $245.18 | 10 |
| Bone imaging multiple areas CPT 78305 | $1,980.61 | $3,737.00 | $64.41 – $860.57 | 10 |
| Bone/joint imaging ltd area CPT 78300 | $1,896.87 | $3,579.00 | $48.48 – $860.57 | 10 |
| Bone marrow;aspiration only 38220 CPT 38220 | $221.01 | $417.00 | $109.24 – $662.15 | 6 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,989.20 | $5,640.00 | $113.31 – $628.98 | 6 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $313.53 – $795.56 | 6 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $303.35 – $783.26 | 6 |
| Bone marrow imaging body CPT 78104 | not published | not published | $61.05 – $860.57 | 10 |
| Bone marrow imaging ltd CPT 78102 | $1,455.38 | $2,746.00 | $41.34 – $860.57 | 10 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $49.95 – $860.57 | 10 |
| Bone marrow interpretation CPT 85097 | $434.60 | $820.00 | $53.33 – $1,749.53 | 15 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $4,674.00 – $11,716.69 | 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.