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 |
|---|---|---|---|---|
| Subtalar arthro w/exc CPT 29905 | not published | not published | $835.75 – $2,417.36 | 6 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,015.77 – $2,489.44 | 6 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,388.49 – $3,420.96 | 6 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,143.80 – $5,304.42 | 6 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $50.42 | 16 |
| Sugars single quant CPT 84378 | $118.72 | $224.00 | $11.53 – $50.42 | 16 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4.77 | $9.00 | $4.50 – $4.50 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $47.17 | $89.00 | $31.67 – $79.09 | 8 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $43.99 | $83.00 | $48.10 – $81.58 | 4 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $19.08 | $36.00 | $27.17 – $98.82 | 9 |
| Support clav 29.6-40.5in med HCPCS L3650 | $51.94 | $98.00 | $65.70 – $95.03 | 4 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $119.97 – $199.69 | 6 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $103.70 – $173.72 | 6 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $164.39 – $415.90 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,245.40 – $3,070.33 | 6 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,245.61 – $3,073.20 | 6 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $678.64 – $1,696.09 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,769.33 – $4,443.25 | 6 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,056.33 – $2,588.04 | 6 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,165.04 – $2,863.19 | 6 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,451.31 – $3,586.27 | 6 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,069.49 – $2,621.87 | 6 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,387.98 – $3,501.44 | 6 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,003.54 – $5,045.58 | 6 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,622.60 – $4,086.43 | 6 |
| Surgical opening of stomach CPT 43510 | not published | not published | $912.70 – $3,652.24 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,209.57 – $3,030.52 | 6 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,233.30 – $3,006.45 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $78.44 | $148.00 | $5.65 – $52.45 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $164.30 | $310.00 | $9.32 – $84.06 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $246.45 | $465.00 | $15.27 – $114.42 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $525.76 | $992.00 | $37.48 – $114.42 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $693.77 | $1,309.00 | $82.47 – $770.40 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $763.20 | $1,440.00 | $82.47 – $1,749.53 | 15 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,062.18 – $5,192.73 | 6 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,331.07 – $5,866.03 | 6 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,647.64 – $4,099.22 | 6 |
| Surgical trays HCPCS A4550 | $41.34 | $78.00 | $20.21 – $32.69 | 5 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $675.66 – $2,174.19 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | $25.97 | $49.00 | $4.75 – $20.64 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $30.21 | $57.00 | $4.75 – $20.64 | 16 |
| Susceptibility mic per plate CPT 87186 | $64.13 | $121.00 | $8.65 – $37.82 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $47.17 | $89.00 | $6.64 – $28.64 | 16 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,563.49 – $3,942.56 | 6 |
| Suspension of testis CPT 54620 | not published | not published | $474.81 – $1,196.87 | 6 |
| Suspension of uterus CPT 58410 | not published | not published | $1,298.14 – $3,213.95 | 6 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $744.09 – $1,802.52 | 6 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,620.00 – $4,086.22 | 6 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,115.89 – $5,262.64 | 6 |
| Svc venogram s&i CPT 75827 | $1,090.74 | $2,058.00 | $85.17 – $3,163.82 | 7 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.79 – $114.42 | 15 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,280.85 – $3,099.56 | 6 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,219.15 – $2,874.06 | 6 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,227.20 – $3,041.91 | 6 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,253.97 – $3,081.44 | 6 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,631.30 – $4,007.09 | 6 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $344.64 – $344.64 | 1 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $162.82 – $162.82 | 1 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $236.43 – $236.43 | 1 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $92.92 – $92.92 | 1 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $419.01 – $419.01 | 1 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $207.31 – $207.31 | 1 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $320.98 – $320.98 | 1 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $125.35 – $125.35 | 1 |
| Synthetic sentence id test CPT 92576 | $57.24 | $108.00 | $38.21 – $128.43 | 9 |
| Synvisc or synvisc-one HCPCS J7325 | $11.66 | $22.00 | $11.26 – $18.50 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $34.45 | $65.00 | $4.40 – $19.50 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $102.29 | $193.00 | $16.94 – $65.47 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $121.37 | $229.00 | $14.18 – $61.91 | 16 |
| T4 (thyroxine) free CPT 84439 | $91.69 | $173.00 | $9.02 – $38.96 | 16 |
| T4 (thyroxine) total CPT 84436 | $71.02 | $134.00 | $6.87 – $29.82 | 16 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.92 | $5.50 | $0.30 – $0.88 | 12 |
| Tacrolimus therapeutic drug level CPT 80197 | $113.95 | $215.00 | $13.73 – $59.60 | 16 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $3,418.50 – $8,502.09 | 6 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $3,162.75 – $7,847.15 | 6 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,961.46 – $4,942.22 | 6 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $125.38 – $1,123.48 | 6 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $102.20 – $725.54 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,396.88 | $8,296.00 | $131.32 – $2,377.07 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,725.37 | $7,029.00 | $3,065.58 – $9,295.88 | 13 |
| Target gsa panel organ neop CPT 81445 | $1,134.73 | $2,141.00 | $131.32 – $1,913.05 | 16 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,124.91 – $2,944.01 | 6 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $206.18 – $1,310.98 | 9 |
| Tavr perq femoral CPT 33361 | $56,327.34 | $106,278.00 | $1,810.30 – $4,761.10 | 6 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.58 | $2.99 | $0.47 – $1.34 | 11 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $435.57 | 13 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $65.70 – $137.22 | 7 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $16.08 – $35.01 | 7 |
| Tbs techl calculation only CPT 77091 | $115.54 | $218.00 | $45.61 – $188.56 | 10 |
| Tbs techl prep&transmis data CPT 77090 | $115.54 | $218.00 | $4.01 – $188.56 | 10 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $120.31 | $227.00 | $100.00 – $326.66 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $119.25 | $225.00 | $61.98 – $270.51 | 16 |
| Tc-99m exametazime diag HCPCS A9521 | $3,733.85 | $7,045.00 | $1,323.86 – $4,937.19 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $238.50 | $450.00 | $138.42 – $290.57 | 7 |
| Tc-99m maa HCPCS A9540 | $429.30 | $810.00 | $44.46 – $93.33 | 7 |
| Tc-99m mebrofenin HCPCS A9537 | $219.42 | $414.00 | $81.98 – $187.21 | 7 |
| Tc-99m medronate HCPCS A9503 | $153.70 | $290.00 | $19.27 – $97.66 | 7 |
| Tc-99m mertiatide HCPCS A9562 | $1,225.36 | $2,312.00 | $1,148.21 – $1,283.16 | 5 |
| Tc-99m oxidronate HCPCS A9561 | $1,202.57 | $2,269.00 | $65.21 – $136.88 | 7 |
| Tc-99m pentetate dtpa HCPCS A9539 | $369.41 | $697.00 | $41.63 – $97.48 | 7 |
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.