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 |
|---|---|---|---|---|
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $268.67 – $679.45 | 6 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $574.52 | $1,084.00 | $147.08 – $1,952.57 | 9 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $76.32 | $144.00 | $20.06 – $127.20 | 9 |
| Sig w/tndsc balloon dilation CPT 45340 | $887.22 | $1,674.00 | $123.42 – $1,808.84 | 6 |
| Simple cystometrogram 51725 CPT 51725 | $338.67 | $639.00 | $120.72 – $520.87 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $195.11 | $368.13 | $141.55 – $286.52 | 8 |
| Single energy x-ray study HCPCS G0130 | $19.61 | $37.00 | $16.96 – $30.19 | 6 |
| Single transfer toe-hand CPT 26553 | not published | not published | $5,144.86 – $12,752.93 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,523.75 | $2,875.00 | $99.60 – $401.74 | 10 |
| Sinus CT scan (with contrast) CPT 70487 | $1,379.59 | $2,603.00 | $88.62 – $401.74 | 10 |
| Sinus CT scan (without contrast) CPT 70486 | $780.16 | $1,472.00 | $67.20 – $245.18 | 10 |
| Sinus/juglr venogram s&i CPT 75860 | $1,674.80 | $3,160.00 | $86.63 – $6,438.74 | 7 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $581.79 – $1,883.62 | 6 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $972.86 – $2,293.70 | 6 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $846.67 – $1,963.98 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | $35,499.40 | $66,980.00 | $46,311.93 – $62,078.68 | 3 |
| Sirolimus, oral HCPCS J7520 | $19.93 | $37.61 | $1.73 – $9.49 | 12 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $101.23 | $191.00 | $31.67 – $79.09 | 8 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $20.04 – $35.06 | 4 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,684.51 – $4,026.69 | 6 |
| Skin Biopsy CPT 11102 | $445.20 | $840.00 | $60.64 – $425.55 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,064.12 – $3,292.01 | 6 |
| Skin full graft add-on 15241 CPT 15241 | $741.47 | $1,399.00 | $165.48 – $715.45 | 6 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,168.87 – $3,472.25 | 6 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,152.31 – $3,586.31 | 6 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $171.82 – $738.78 | 6 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.78 – $52.45 | 15 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $3,695.73 – $9,187.65 | 6 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $6,227.20 – $15,510.14 | 6 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $557.06 | 16 |
| Sleep study attended CPT 95807 | $3,133.36 | $5,912.00 | $96.90 – $1,136.37 | 9 |
| Sleep Study (Polysomnography) CPT 95810 | $4,357.66 | $8,222.00 | $193.44 – $2,178.90 | 9 |
| Sleep study unattended CPT 95806 | $2,006.58 | $3,786.00 | $71.81 – $335.08 | 9 |
| Sleeve fing rolyan med HCPCS L3933 | $496.08 | $936.00 | $194.54 – $281.38 | 4 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $4,564.70 – $11,666.96 | 6 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $10.07 | $19.00 | $8.94 – $12.94 | 4 |
| Sling pelv split sam med HCPCS L0621 | $134.09 | $253.00 | $86.38 – $124.94 | 4 |
| Slitting of prepuce CPT 54000 | not published | not published | $177.12 – $625.78 | 6 |
| Slitting of prepuce CPT 54001 | not published | not published | $224.23 – $771.21 | 6 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $51.85 – $121.88 | 6 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $140.01 – $343.18 | 6 |
| Slp pure tone screening CPT 92551 | $25.44 | $48.00 | $19.33 – $41.00 | 6 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $57.82 – $152.81 | 9 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $111.66 – $303.18 | 6 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $73.37 | 16 |
| Small bowel endoscopy CPT 44360 | not published | not published | $226.95 – $575.07 | 6 |
| Small bowel endoscopy CPT 44364 | not published | not published | $322.88 – $819.71 | 6 |
| Small bowel endoscopy CPT 44366 | not published | not published | $379.17 – $962.89 | 6 |
| Small bowel endoscopy CPT 44369 | not published | not published | $387.87 – $986.67 | 6 |
| Small bowel endoscopy CPT 44376 | not published | not published | $448.92 – $1,140.21 | 6 |
| Small bowel endoscopy CPT 44378 | not published | not published | $606.59 – $1,543.94 | 6 |
| Small bowel endoscopy CPT 44382 | not published | not published | $116.99 – $2,007.94 | 9 |
| Small bowel endoscopy CPT 44384 | not published | not published | $244.03 – $613.44 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $302.69 – $767.32 | 6 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $287.38 – $728.49 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $250.56 – $634.80 | 6 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $471.77 – $1,198.92 | 6 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $90.42 – $2,007.94 | 9 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $133.84 – $3,910.50 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $421.33 – $1,067.93 | 6 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $324.00 | 11 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $57.77 | $109.00 | $5.39 – $22.91 | 16 |
| Smear gram stain CPT 87205 | $45.05 | $85.00 | $4.27 – $18.32 | 16 |
| Smear nasal eosinophil CPT 89190 | $40.81 | $77.00 | $5.79 – $20.64 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $63.60 | $120.00 | $5.99 – $26.36 | 16 |
| Smear wet mount CPT 87210 | $48.23 | $91.00 | $5.82 – $18.32 | 16 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $957.10 | 13 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $588.03 | 13 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $6,990.00 | 16 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $6,990.00 | 16 |
| So airplane w/wo joint cf HCPCS L3674 | $2,748.05 | $5,185.00 | $1,077.71 – $1,558.84 | 4 |
| So cap design without jnts cf HCPCS L3671 | $2,094.56 | $3,952.00 | $821.53 – $1,188.28 | 4 |
| Sodium 24 hour urine CPT 84300 | $36.04 | $68.00 | $5.06 – $21.78 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $2.65 | $5.00 | $2.57 – $4.94 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $1.59 | $3.00 | $1.28 – $2.69 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $0.53 | $1.00 | $0.63 – $0.76 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $11.69 | $22.05 | $2.40 – $7.23 | 11 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $91.69 | $173.00 | $90.49 – $150.97 | 9 |
| Sodium serum/plasma/whole blood CPT 84295 | $36.04 | $68.00 | $4.81 – $20.64 | 16 |
| Soft interface below knee se HCPCS L2820 | $73.67 | $139.00 | $81.35 – $117.66 | 4 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,856.53 – $7,655.00 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,650.25 – $7,655.00 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $4,538.14 – $7,655.00 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,443.96 – $7,655.00 | 2 |
| Somatosensory testing CPT 95927 | $227.90 | $430.00 | $44.06 – $666.91 | 9 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $4,125.58 – $7,655.00 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $7,655.00 | 5 |
| Spacer bag/reservoir HCPCS A4627 | $13.25 | $25.00 | $11.64 – $18.84 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $251.45 – $637.14 | 6 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $272.71 – $691.01 | 6 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $184.31 – $461.09 | 6 |
| Special casting material HCPCS A4590 | $23.85 | $45.00 | $26.71 – $43.23 | 5 |
| Special physics consult CPT 77370 | $732.46 | $1,382.00 | $129.25 – $387.56 | 9 |
| Special pump services CPT 99190 | not published | not published | $707.37 – $1,533.43 | 6 |
| Special pump services CPT 99191 | not published | not published | $495.67 – $1,073.30 | 6 |
| Special pump services CPT 99192 | not published | not published | $353.97 – $767.60 | 6 |
| Special radiation dosimetry CPT 77331 | $392.73 | $741.00 | $30.84 – $284.35 | 9 |
| Special radiation treatment CPT 77470 | $1,849.17 | $3,489.00 | $52.34 – $1,238.89 | 9 |
| Special supplies phys/qhp CPT 99070 | $16.43 | $31.00 | $16.04 – $16.04 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $71.33 – $783.99 | 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.