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 |
|---|---|---|---|---|
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $1,810.69 – $2,241.43 | 5 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $1,338.82 – $1,656.89 | 5 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $2,228.38 – $5,714.79 | 6 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,497.53 – $3,857.73 | 6 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,386.79 – $3,568.76 | 6 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $2,086.09 – $5,284.57 | 6 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $2,201.87 – $5,575.59 | 6 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,419.61 – $6,213.30 | 6 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,625.55 – $6,675.95 | 6 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $2,167.23 – $5,490.80 | 6 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $2,694.11 – $6,839.99 | 6 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $1,209.50 – $2,801.69 | 6 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,637.47 – $3,822.80 | 6 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,703.11 – $4,194.14 | 6 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,426.49 – $3,617.02 | 6 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,304.90 – $3,292.87 | 6 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $979.00 – $2,437.78 | 6 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $1,231.96 – $3,068.44 | 6 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,756.23 – $7,005.79 | 6 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $2,110.21 – $5,350.30 | 6 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,600.69 – $4,048.38 | 6 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $907.44 – $2,277.88 | 6 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $952.03 – $2,369.35 | 6 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $633.86 – $1,577.23 | 6 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $938.55 – $2,334.75 | 6 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $648.33 – $1,595.97 | 6 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,476.08 – $3,690.49 | 6 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $269.79 – $12,503.48 | 6 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $8,576.54 – $10,593.33 | 5 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $2,372.77 – $2,936.26 | 5 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $2,928.94 – $3,624.52 | 5 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,568.90 – $6,558.32 | 6 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $49.44 – $111.19 | 6 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $18.79 – $127.20 | 9 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $894.27 – $2,226.51 | 6 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $3,519.43 – $8,974.16 | 6 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,946.12 – $7,489.80 | 6 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,786.42 – $7,083.45 | 6 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,708.76 – $6,878.08 | 6 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,836.11 – $7,230.23 | 6 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $3,533.82 – $9,038.78 | 6 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $3,467.15 – $8,876.30 | 6 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $3,446.31 – $8,827.01 | 6 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $3,160.71 – $8,082.58 | 6 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $3,246.69 – $8,314.64 | 6 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $762.99 – $762.99 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $585.41 – $1,426.47 | 6 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $218.19 – $561.65 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,497.11 – $3,785.53 | 6 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $3,203.43 – $8,031.49 | 6 |
| Rsv assay w/optic CPT 87807 | $98.58 | $186.00 | $13.10 – $52.73 | 16 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $358.44 – $574.20 | 5 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $30.46 – $275.99 | 9 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $36.30 – $176.16 | 7 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $36.30 – $181.34 | 9 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $36.30 – $181.34 | 9 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $50.12 – $165.17 | 6 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $48.99 – $134.18 | 6 |
| Rubella antibody igg CPT 86762 | $115.54 | $218.00 | $14.39 – $63.05 | 16 |
| Rubeola ag if CPT 87283 | not published | not published | $24.68 – $190.28 | 16 |
| Rubeola antibody igg CPT 86765 | $84.27 | $159.00 | $12.88 – $56.18 | 16 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,048.79 | 16 |
| Russell viper venom diluted CPT 85613 | $96.99 | $183.00 | $9.58 – $41.27 | 16 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $2,017.58 | 10 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $55.56 | $104.84 | $37.47 – $103.94 | 10 |
| Salivary gland function exam CPT 78232 | not published | not published | $31.64 – $860.57 | 10 |
| Salivary gland imaging CPT 78230 | not published | not published | $35.04 – $860.57 | 10 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $35.07 – $860.57 | 10 |
| Salmonella antibody CPT 86768 | $25.44 | $48.00 | $13.19 – $50.95 | 16 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,371.13 – $3,400.66 | 6 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $125.45 – $309.76 | 9 |
| Sargramostim injection HCPCS J2820 | $55.12 | $104.00 | $64.98 – $99.03 | 6 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $133.23 | 11 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $444.08 | 12 |
| Sarscov coronavirus ag ia CPT 87426 | $75.26 | $142.00 | $35.33 – $143.15 | 12 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $186.03 | $351.00 | $52.60 – $232.32 | 12 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $645.15 – $1,639.22 | 6 |
| Sbrt management CPT 77435 | not published | not published | $1,045.60 – $2,062.63 | 6 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $216.58 – $356.44 | 6 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $249.02 – $351.81 | 6 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $120.48 – $178.57 | 6 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $173.52 – $235.94 | 6 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $64.58 – $116.08 | 6 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $90.05 – $328.68 | 9 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,908.00 | $3,600.00 | $89.44 – $517.68 | 9 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,402.91 | $2,647.00 | $62.13 – $227.74 | 9 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $855.95 | $1,615.00 | $59.94 – $517.68 | 9 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $624.34 | $1,178.00 | $37.20 – $227.74 | 9 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $978.38 | $1,846.00 | $37.74 – $227.74 | 9 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,098.16 | $2,072.00 | $34.31 – $227.74 | 9 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,938.74 | $3,658.00 | $60.30 – $517.68 | 9 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,015.48 | $1,916.00 | $36.63 – $227.74 | 9 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $940.22 | $1,774.00 | $37.20 – $227.74 | 9 |
| Scan proc cranial extra CPT 61782 | not published | not published | $273.62 – $684.82 | 6 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $341.85 – $860.26 | 6 |
| Scan proc spinal CPT 61783 | not published | not published | $340.61 – $861.57 | 6 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,989.20 | $5,640.00 | $188.05 – $4,690.20 | 6 |
| Scope plantar fasciotomy CPT 29893 | $378.42 | $714.00 | $709.70 – $2,570.58 | 6 |
| Screen cerv/vag thin layer HCPCS G0123 | $111.30 | $210.00 | $21.27 – $78.27 | 13 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,903.76 | $3,592.00 | $290.80 – $1,309.79 | 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.