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 |
|---|---|---|---|---|
| Specific gravity body fluid CPT 84315 | $16.43 | $31.00 | $3.28 – $11.46 | 16 |
| Specimen fat stain CPT 89125 | $19.61 | $37.00 | $5.88 – $18.40 | 16 |
| Speech audiometry complete CPT 92556 | $58.30 | $110.00 | $57.82 – $134.75 | 9 |
| Speech evaluation complex CPT 70371 | not published | not published | $67.73 – $517.79 | 10 |
| Speech recep thresh CPT 92555 | $36.57 | $69.00 | $44.51 – $127.20 | 9 |
| Sperm antibody test CPT 89325 | $45.05 | $85.00 | $10.67 – $47.00 | 16 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $75.68 | 16 |
| Sperm identification CPT 89257 | not published | not published | $52.01 – $114.42 | 9 |
| Sperm isolation complex CPT 89261 | not published | not published | $52.01 – $114.42 | 9 |
| Sperm isolation simple CPT 89260 | not published | not published | $52.01 – $114.42 | 9 |
| Sperm washing 58323 CPT 58323 | not published | not published | $18.90 – $430.83 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,136.26 – $2,630.85 | 6 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,189.10 – $2,974.22 | 6 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $164.02 – $415.70 | 6 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $196.30 – $490.85 | 6 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,098.16 | $2,072.00 | $137.58 – $1,483.13 | 9 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $223.99 – $666.91 | 9 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $915.31 | $1,727.00 | $16.69 – $666.91 | 9 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $138.01 – $335.08 | 9 |
| Spleen imaging CPT 78185 | not published | not published | $27.05 – $860.57 | 10 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,765.67 – $4,443.09 | 6 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $3,524.49 – $8,904.71 | 6 |
| Splicing of ureters CPT 50770 | not published | not published | $1,823.34 – $4,612.13 | 6 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,178.19 | $2,223.00 | $462.05 – $668.31 | 4 |
| Splint finger 4 prong foam sm HCPCS A4570 | $13.25 | $25.00 | $11.99 – $11.99 | 3 |
| Splint finger frog med HCPCS L3927 | $81.62 | $154.00 | $31.92 – $46.18 | 4 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $110.24 | $208.00 | $88.07 – $127.38 | 4 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,094.71 – $3,347.90 | 6 |
| Split blood or products CPT 86985 | $101.23 | $191.00 | $21.83 – $367.00 | 12 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $268.18 | $506.00 | $208.37 – $828.45 | 6 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $24.65 – $51.17 | 6 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $322.89 – $710.36 | 7 |
| Sputum specimen collection CPT 89220 | not published | not published | $21.43 – $367.00 | 15 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $4,774.64 – $5,078.92 | 5 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $3,508.25 – $3,739.73 | 5 |
| Srs cran les complex addl CPT 61799 | not published | not published | $1,045.46 – $1,105.89 | 5 |
| Srs cran les simple addl CPT 61797 | not published | not published | $760.20 – $800.12 | 5 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $385.88 | 11 |
| Srs linear based CPT 77372 | $17,271.64 | $32,588.00 | $1,576.87 – $3,459.85 | 6 |
| Srs multisource CPT 77371 | not published | not published | $1,842.63 – $3,958.19 | 6 |
| Srs spinal lesion CPT 63620 | not published | not published | $3,862.25 – $4,124.97 | 5 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $874.01 – $919.79 | 5 |
| Staggered spondaic word test CPT 92572 | $81.09 | $153.00 | $76.81 – $335.08 | 9 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,553.29 – $1,553.29 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $174.90 | $330.00 | $103.81 – $327.93 | 9 |
| Staph a dna amp probe CPT 87640 | $145.22 | $274.00 | $35.09 – $152.46 | 16 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $248.57 | $469.00 | $96.70 – $397.71 | 9 |
| Stem cells total count CPT 86367 | not published | not published | $77.60 – $243.42 | 16 |
| Stenger test pure tone CPT 92565 | $25.44 | $48.00 | $32.47 – $127.20 | 9 |
| Stenger test speech CPT 92577 | $38.16 | $72.00 | $33.01 – $1,136.37 | 9 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $33,081.54 | $62,418.00 | $1,071.48 – $57,766.01 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $26,420.50 | $49,850.00 | $733.57 – $16,352.01 | 6 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $13,210.25 | $24,925.00 | $314.01 – $9,099.49 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,607.83 – $4,123.70 | 6 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $31,546.66 | $59,522.00 | $1,034.64 – $40,521.12 | 6 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,094.69 – $5,180.97 | 6 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $692.60 – $1,367.10 | 6 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $1.59 | $3.00 | $0.13 – $0.26 | 6 |
| Sterile water/saline, 10 ml HCPCS A4216 | $15.90 | $30.00 | $0.51 – $1.00 | 6 |
| Sternal debridement CPT 21627 | not published | not published | $855.56 – $2,092.52 | 6 |
| St evaluate speech sound production CPT 92522 | $200.34 | $378.00 | $105.47 – $335.52 | 9 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $217.22 – $708.18 | 9 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $214.12 | $404.00 | $85.98 – $333.59 | 9 |
| St evaluation swallow function CPT 92610 | $179.14 | $338.00 | $80.86 – $316.83 | 9 |
| Stimulants synthetic CPT 80371 | not published | not published | $31.67 – $79.09 | 8 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $847.50 – $2,120.97 | 6 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $82.47 – $367.00 | 9 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $82.47 – $367.00 | 9 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $82.47 – $367.00 | 9 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $82.47 – $367.00 | 9 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $717.59 – $1,826.30 | 6 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $16.43 | $31.00 | $28.12 – $337.94 | 9 |
| Strapping of chest CPT 29200 | not published | not published | $30.50 – $337.94 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $30.74 | $58.00 | $30.86 – $127.20 | 9 |
| Strapping of hand or finger CPT 29280 | $65.19 | $123.00 | $31.94 – $127.20 | 9 |
| Strapping of hip CPT 29520 | not published | not published | $29.94 – $276.06 | 9 |
| Strapping of knee CPT 29530 | $32.33 | $61.00 | $29.94 – $276.06 | 9 |
| Strapping of toes 29550 CPT 29550 | $18.02 | $34.00 | $18.05 – $127.20 | 9 |
| Strep a ag ia CPT 87430 | $39.75 | $75.00 | $16.81 – $52.73 | 16 |
| Strep a dna dir probe CPT 87650 | $81.09 | $153.00 | $20.05 – $87.10 | 16 |
| Strep a dna quant CPT 87652 | $168.01 | $317.00 | $41.76 – $182.24 | 16 |
| Strep b assay w/optic CPT 87802 | $39.22 | $74.00 | $12.73 – $52.73 | 16 |
| Strep b dna amp probe CPT 87653 | $219.95 | $415.00 | $35.09 – $152.46 | 16 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $48.14 | 16 |
| Streptomycin injection HCPCS J3000 | $38.16 | $72.00 | $42.58 – $65.49 | 9 |
| Streptozocin injection HCPCS J9320 | $400.68 | $756.00 | $425.71 – $691.48 | 6 |
| Stress test pulmonary CPT 94618 | $394.32 | $744.00 | $18.79 – $276.06 | 9 |
| Stress tte complete CPT 93351 | $4,861.69 | $9,173.00 | $135.29 – $1,174.27 | 9 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $6,990.00 | 16 |
| Str markers specimen anal CPT 81265 | $835.28 | $1,576.00 | $233.07 – $937.60 | 16 |
| St treatment speech individual CPT 92507 | $487.60 | $920.00 | $73.02 – $289.78 | 9 |
| St treatment swallow dysfunction/oral CPT 92526 | $169.07 | $319.00 | $80.50 – $319.20 | 9 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $167.37 – $1,483.13 | 9 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $628.76 – $1,036.52 | 6 |
| Subq njx filling matrl 1cc/< CPT 11950 | $56.18 | $106.00 | $81.57 – $425.55 | 9 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $202.99 | $383.00 | $160.24 – $1,310.98 | 9 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $197.08 – $324.25 | 6 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $189.67 – $311.46 | 6 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $178.25 – $453.95 | 6 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,033.86 – $2,621.34 | 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.