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 |
|---|---|---|---|---|
| Rh ig minidose im CPT 90385 | not published | not published | $36.89 – $171.63 | 9 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,999.73 – $4,726.81 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $19.54 | $36.86 | $5.72 – $14.95 | 11 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $28.09 | $53.00 | $27.99 – $51.76 | 9 |
| Rho d immune globulin inj HCPCS J2790 | $85.33 | $161.00 | $94.04 – $160.28 | 9 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $170.13 | $321.00 | $99.40 – $376.00 | 9 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $0.04 – $1,004.62 | 6 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $0.04 – $640.10 | 6 |
| Rhythm ecg with report CPT 93040 | $14.31 | $27.00 | $20.50 – $44.96 | 6 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,195.78 – $2,930.64 | 6 |
| Right heart cath congenital CPT 93530 | not published | not published | $322.15 – $322.15 | 1 |
| Right ventric recording CPT 93603 | $6,398.69 | $12,073.00 | $116.09 – $243.79 | 6 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $16.68 | $31.48 | $18.18 – $29.97 | 8 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $12.19 | $23.00 | $13.32 – $22.60 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $143.95 | $271.61 | $94.01 – $247.17 | 11 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $119.29 | $225.08 | $29.17 – $83.91 | 11 |
| R & l heart cath congenital CPT 93531 | not published | not published | $674.92 – $674.92 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $818.91 – $818.91 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $547.83 – $547.83 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $0.04 – $1,462.82 | 6 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $0.04 – $1,100.06 | 6 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,694.80 – $4,201.39 | 6 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $114.48 | $216.00 | $145.55 – $1,506.85 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,033.46 – $2,581.11 | 6 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $546.18 – $1,681.00 | 6 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $419.76 | $792.00 | $584.94 – $2,154.30 | 6 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $237.44 | $448.00 | $363.38 – $1,364.15 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $140.98 | $266.00 | $223.16 – $855.51 | 6 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,164.62 – $2,759.38 | 6 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $103.88 | $196.00 | $192.93 – $469.66 | 6 |
| Rmvl icd by tv extr CPT 33244 | $5,124.57 | $9,669.00 | $1,326.48 – $3,343.92 | 6 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $31,065.95 | $58,615.00 | $595.60 – $1,503.63 | 6 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $32,018.36 | $60,412.00 | $621.37 – $1,568.95 | 6 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $31,065.95 | $58,615.00 | $573.66 – $1,445.87 | 6 |
| Rmvl icd pulse gen only CPT 33241 | $6,463.88 | $12,196.00 | $332.83 – $833.24 | 6 |
| Rmvl imed rx delivery device CPT 20703 | $86.92 | $164.00 | $159.27 – $393.44 | 6 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $734.84 – $1,884.89 | 6 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $3,504.30 – $8,980.31 | 6 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $687.94 | $1,298.00 | $248.03 – $1,324.09 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $630.82 – $780.68 | 5 |
| Rmvl perm pm pulse gen CPT 33233 | $6,800.96 | $12,832.00 | $362.85 – $898.64 | 6 |
| Rmvl perq right heart vad CPT 33997 | $5,040.30 | $9,510.00 | $237.30 – $630.74 | 6 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $860.59 – $860.59 | 4 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $2,250.00 – $2,250.00 | 4 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $1,365.67 – $1,365.67 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $17,046.39 | $32,163.00 | $576.16 – $30,617.00 | 6 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $13,410.59 | $25,303.00 | $521.73 – $1,309.99 | 6 |
| Rmvl pq iabp CPT 33968 | $5,040.30 | $9,510.00 | $50.90 – $130.38 | 6 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $5,040.30 | $9,510.00 | $280.64 – $763.87 | 6 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,980.26 – $4,919.71 | 6 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $2,660.64 – $6,310.23 | 6 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $4,126.92 – $9,801.75 | 6 |
| Rmvl sq defib electrode CPT 33272 | $3,442.88 | $6,496.00 | $532.78 – $1,344.55 | 6 |
| Rmvl subq card rhythm mntr CPT 33286 | $3,857.34 | $7,278.00 | $131.43 – $1,506.85 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $878.71 – $1,903.67 | 6 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $159.14 – $854.61 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $3,064.06 – $7,599.35 | 6 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $3,353.62 – $8,299.34 | 6 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,878.87 – $4,668.55 | 6 |
| Rmvl tv pm lead dual CPT 33235 | $3,805.40 | $7,180.00 | $978.98 – $2,469.31 | 6 |
| Rmvl tv pm lead sgl CPT 33234 | $3,378.75 | $6,375.00 | $744.40 – $1,879.56 | 6 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $769.23 – $1,717.12 | 6 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $1,981.01 – $2,450.00 | 5 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $856.97 – $1,964.02 | 6 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $412.64 – $1,052.06 | 6 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $1,999.94 – $1,999.94 | 4 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $1,523.11 – $1,523.11 | 4 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,455.56 – $3,455.56 | 4 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $63.73 – $63.73 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $3,732.74 – $9,325.57 | 6 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $4,460.15 – $11,092.71 | 6 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $3,145.76 – $7,758.51 | 6 |
| Romiplostim injection HCPCS J2796 | $90.10 | $170.00 | $104.93 – $158.45 | 6 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $16.22 | $30.60 | $11.45 – $22.99 | 8 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $90.02 | $169.84 | $0.08 – $0.24 | 11 |
| Rotavirus antibody CPT 86759 | $29.68 | $56.00 | $18.23 – $57.32 | 16 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $1,035.32 – $2,525.19 | 6 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $5,095.24 – $13,085.40 | 6 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $902.45 – $4,360.31 | 6 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $2,293.85 – $2,836.46 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,064.88 | $3,896.00 | $102.80 – $869.41 | 6 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,283.66 | $2,422.00 | $55.91 – $860.57 | 10 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $4,436.63 | $8,371.00 | $111.55 – $2,938.37 | 7 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $5,031.82 | $9,494.00 | $160.06 – $3,330.77 | 7 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,632.93 | $3,081.00 | $93.19 – $1,391.83 | 6 |
| Rpl tun-cvad w subq port CPT 36582 | $4,061.39 | $7,663.00 | $447.13 – $3,928.46 | 6 |
| Rpl tun-cvad w subq pump CPT 36583 | $2,074.42 | $3,914.00 | $503.05 – $4,986.58 | 6 |
| Rpl tun cvc wo subq port CPT 36581 | $2,942.56 | $5,552.00 | $288.71 – $3,205.26 | 6 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $48.99 – $131.27 | 6 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $48.99 – $107.25 | 6 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $3,243.77 – $4,014.60 | 5 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $2,441.55 – $3,021.74 | 5 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $2,359.84 – $2,920.72 | 5 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $1,815.32 – $2,247.13 | 5 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $1,084.99 – $1,342.75 | 5 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $1,505.63 – $1,863.45 | 5 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $3,927.59 – $4,860.96 | 5 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $2,807.49 – $3,474.59 | 5 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $2,717.06 – $3,362.82 | 5 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $2,025.90 – $2,507.31 | 5 |
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.