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 |
|---|---|---|---|---|
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,951.46 | $3,682.00 | $290.63 – $1,308.84 | 6 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $23.32 | $44.00 | $18.95 – $37.68 | 10 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $367.82 | $694.00 | $29.68 – $109.22 | 10 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $39.22 | $74.00 | $28.42 – $63.96 | 9 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $42.93 | $81.00 | $25.28 – $61.68 | 10 |
| Screening Mammogram CPT 77067 | $241.15 | $455.00 | $59.82 – $217.46 | 10 |
| Screening prostate cancer PSA HCPCS G0103 | $54.59 | $103.00 | $20.28 – $71.07 | 13 |
| Screen pap by tech w md supv HCPCS P3000 | $74.20 | $140.00 | $18.65 – $45.85 | 13 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $4.77 | $9.00 | $4.56 – $9.70 | 6 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $69.28 – $230.34 | 9 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $1,275.63 – $3,167.00 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,649.16 | $8,772.00 | $365.93 – $5,230.66 | 6 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $81.09 | $153.00 | $8.31 – $85.64 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $36.57 | $69.00 | $2.70 – $11.46 | 16 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $2,158.59 – $5,471.98 | 6 |
| Select picture audiometry CPT 92583 | $78.44 | $148.00 | $57.82 – $171.50 | 9 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $14.38 – $38.62 | 6 |
| Self-meas bp pt educaj/train CPT 99473 | $13.25 | $25.00 | $20.43 – $52.45 | 9 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $59.89 | $113.00 | $22.63 – $46.07 | 6 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $32.86 | $62.00 | $16.59 – $33.37 | 6 |
| Semen analysis presence/motility CPT 89321 | $102.82 | $194.00 | $12.05 – $52.73 | 16 |
| Semen analysis w/count CPT 89310 | $59.89 | $113.00 | $8.61 – $37.82 | 16 |
| Sensorimotor examination CPT 92060 | $42.40 | $80.00 | $43.42 – $127.20 | 9 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $38.21 – $231.51 | 9 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $639.97 – $2,311.70 | 6 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $122.31 – $609.80 | 13 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,100.72 – $2,663.36 | 6 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,009.22 – $2,468.32 | 6 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,188.44 – $2,918.59 | 6 |
| Serial casting application 97139app CPT 97139 | not published | not published | $54.09 – $54.09 | 1 |
| Serial tonometry CPT 92100 | $29.68 | $56.00 | $53.02 – $297.74 | 6 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $190.28 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | $860.72 | $1,624.00 | $31.67 – $79.09 | 8 |
| Set radiation therapy field CPT 77280 | $639.71 | $1,207.00 | $62.39 – $284.35 | 9 |
| Set radiation therapy field CPT 77285 | not published | not published | $94.04 – $783.99 | 9 |
| Set radiation therapy field CPT 77290 | $1,426.23 | $2,691.00 | $136.02 – $783.99 | 9 |
| Set-up cardiovert-defibrill CPT 93745 | $352.45 | $665.00 | $64.53 – $642.31 | 9 |
| Sever cranial nerve CPT 64771 | not published | not published | $923.71 – $2,389.93 | 6 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $69.45 | 16 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $34.37 | 16 |
| Sex transformation f to m CPT 55980 | not published | not published | $6,418.88 – $15,291.93 | 6 |
| Sex transformation m to f CPT 55970 | not published | not published | $6,080.24 – $14,485.34 | 6 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $425.15 | 11 |
| Sgmdsc w/band ligation CPT 45350 | $525.76 | $992.00 | $158.78 – $2,493.17 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $90.10 | $170.00 | $73.07 – $459.69 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $94.87 | $179.00 | $100.57 – $545.75 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $109.71 | $207.00 | $119.56 – $855.65 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $123.49 | $233.00 | $152.76 – $855.65 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $77.91 | $147.00 | $60.49 – $425.55 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $84.27 | $159.00 | $79.00 – $490.36 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $100.17 | $189.00 | $100.86 – $573.18 | 9 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $100.17 | $189.00 | $113.10 – $855.65 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $97.52 | $184.00 | $54.43 – $855.65 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $92.22 | $174.00 | $82.11 – $482.90 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $104.41 | $197.00 | $95.86 – $558.01 | 9 |
| Shigella antibody CPT 86771 | $32.33 | $61.00 | $24.48 – $76.61 | 16 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $750.72 – $1,840.57 | 6 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,450.05 – $3,589.47 | 6 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,672.41 – $4,132.72 | 6 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $946.48 – $2,320.64 | 6 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $864.13 – $2,257.09 | 6 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $935.80 – $2,294.16 | 6 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $851.51 – $2,101.00 | 6 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $935.80 – $2,294.16 | 6 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,636.76 – $4,041.62 | 6 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $945.10 – $2,455.33 | 6 |
| Shoe post-op mens m HCPCS L3260 | $12.19 | $23.00 | $12.67 – $20.50 | 5 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,100.82 – $2,532.45 | 6 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,960.44 – $4,876.13 | 6 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $2,105.91 – $5,231.64 | 6 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,227.04 – $3,018.99 | 6 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,601.11 – $3,955.80 | 6 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,688.64 – $4,181.59 | 6 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,096.79 | $5,843.00 | $169.08 – $828.27 | 10 |
| Shoulder MRI (with contrast) CPT 73222 | $2,607.07 | $4,919.00 | $127.60 – $1,692.04 | 10 |
| Shoulder MRI (without contrast) CPT 73221 | $4,368.26 | $8,242.00 | $106.95 – $517.79 | 10 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,671.44 – $4,172.00 | 6 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,994.44 – $4,967.07 | 6 |
| Shoulder X-ray CPT 73030 | $176.49 | $333.00 | $14.93 – $188.56 | 10 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,990.87 – $5,038.57 | 6 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,990.87 – $5,038.57 | 6 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,930.11 – $4,905.20 | 6 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $37.66 – $245.18 | 10 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,901.13 – $4,830.62 | 6 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $2,005.66 – $5,099.46 | 6 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $2,138.46 – $5,439.51 | 6 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $52.73 | 16 |
| Sialography s&i CPT 70390 | $413.93 | $781.00 | $29.92 – $517.79 | 10 |
| Sialolithotomy 42330 CPT 42330 | $376.83 | $711.00 | $267.51 – $920.20 | 6 |
| Sickling rbc CPT 85660 | $45.05 | $85.00 | $5.51 – $24.09 | 16 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,003.29 | $1,893.00 | $114.17 – $1,952.57 | 9 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $180.05 – $1,952.57 | 9 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $185.96 – $2,143.40 | 6 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,266.17 | $2,389.00 | $105.67 – $1,952.57 | 9 |
| Sigmoidoscopy w/ablation CPT 45346 | $403.86 | $762.00 | $253.59 – $10,980.87 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $477.00 | $900.00 | $165.21 – $1,090.42 | 6 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $243.30 – $616.15 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $313.26 – $794.99 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,120.42 | $2,114.00 | $189.57 – $1,139.40 | 6 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $195.60 – $1,952.57 | 9 |
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.