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 |
|---|---|---|---|---|
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $4,426.61 – $11,093.45 | 6 |
| Bone survey-lead poisoning CPT 77074 | $184.97 | $349.00 | $34.46 – $245.18 | 10 |
| Boot heel care softcare one sz HCPCS E0191 | $20.14 | $38.00 | $0.05 – $2.07 | 6 |
| Boot mlti podous univ xlg HCPCS L4396 | $131.97 | $249.00 | $168.12 – $243.17 | 4 |
| Boot softgait shrt m HCPCS L4387 | $404.92 | $764.00 | $158.84 – $229.75 | 4 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $204.05 | $385.00 | $259.37 – $375.17 | 4 |
| Borrelia antibody CPT 86619 | $28.62 | $54.00 | $13.38 – $58.46 | 16 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $116.60 | $220.00 | $17.03 – $74.50 | 16 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $117.55 | 11 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $80.10 | $151.14 | $2.04 – $10.36 | 11 |
| (both sides) smear without diff wbc count CPT 85008 | $9.54 | $18.00 | $3.43 – $14.91 | 16 |
| Bowel imaging CPT 78290 | not published | not published | $52.48 – $860.57 | 10 |
| Brace afo lg left 6607 HCPCS L1930 | $643.42 | $1,214.00 | $252.39 – $365.07 | 4 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,583.11 | $2,987.00 | $621.01 – $898.23 | 4 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $88.51 | $167.00 | $112.65 – $162.94 | 4 |
| Brace ank air stirrup univ HCPCS L4350 | $246.98 | $466.00 | $96.94 – $140.22 | 4 |
| Brace ankle joint dflxn assist HCPCS L2210 | $191.86 | $362.00 | $62.97 – $91.08 | 4 |
| Brace ankle stablizing lg HCPCS L1902 | $190.80 | $360.00 | $74.78 – $108.16 | 4 |
| Brace back epic lo 627 HCPCS L0642 | $559.68 | $1,056.00 | $411.77 – $595.60 | 4 |
| Brace back epic tslo 456 HCPCS L0457 | $1,353.62 | $2,554.00 | $996.39 – $1,441.20 | 4 |
| Brace knee extender plus 22-30in HCPCS L1832 | $541.66 | $1,022.00 | $690.06 – $998.11 | 4 |
| Brace knee hing pat open med HCPCS L1820 | $111.30 | $210.00 | $142.38 – $205.94 | 4 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,052.05 | $1,985.00 | $690.06 – $998.11 | 4 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $81.09 | $153.00 | $103.13 – $149.16 | 4 |
| Brace m arm board HCPCS L3809 | $581.41 | $1,097.00 | $227.97 – $329.75 | 4 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $185.50 | $350.00 | $227.97 – $329.75 | 5 |
| Brace wrist classic lft sm HCPCS L3908 | $170.66 | $322.00 | $66.85 – $96.69 | 4 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,266.57 – $2,931.87 | 6 |
| Brach/thor cath 1st CPT 36215 | $3,536.16 | $6,672.00 | $330.07 – $4,295.12 | 6 |
| Brach/thor cath 2nd CPT 36216 | $3,960.69 | $7,473.00 | $410.52 – $4,525.13 | 6 |
| Brach/thor cath 3rd CPT 36217 | $4,179.05 | $7,885.00 | $496.59 – $7,509.52 | 6 |
| Brach/thor cath addl CPT 36218 | $1,792.99 | $3,383.00 | $79.14 – $909.26 | 6 |
| Brachytx isodose complex CPT 77318 | $1,574.10 | $2,970.00 | $251.33 – $783.99 | 9 |
| Brachytx isodose intermed CPT 77317 | $1,399.20 | $2,640.00 | $158.87 – $783.99 | 9 |
| Brachytx isodose plan simple CPT 77316 | $1,166.00 | $2,200.00 | $121.69 – $783.99 | 9 |
| Braf gene CPT 81210 | $780.69 | $1,473.00 | $175.40 – $573.12 | 16 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,074.97 – $5,088.96 | 6 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,827.33 – $4,463.10 | 6 |
| Brain flow imaging only CPT 78610 | not published | not published | $23.48 – $1,152.80 | 10 |
| Brain image < 4 views CPT 78600 | not published | not published | $33.91 – $860.57 | 10 |
| Brain image 4+ views CPT 78605 | not published | not published | $41.65 – $1,152.80 | 10 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $39.05 – $860.57 | 10 |
| Brain image w/flow 4 + views CPT 78606 | $1,205.22 | $2,274.00 | $49.08 – $1,152.80 | 10 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,825.43 | $5,331.00 | $115.72 – $828.27 | 10 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,258.33 | $4,261.00 | $93.75 – $828.27 | 10 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,821.61 | $3,437.00 | $94.30 – $517.79 | 10 |
| Brain MRI (with and without contrast) CPT 70553 | $3,042.20 | $5,740.00 | $179.52 – $828.27 | 10 |
| Brain MRI (with contrast) CPT 70552 | $2,613.96 | $4,932.00 | $139.93 – $828.27 | 10 |
| Brain MRI (without contrast) CPT 70551 | $2,019.83 | $3,811.00 | $116.26 – $517.79 | 10 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $1,486.66 | 13 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,855.73 | 13 |
| Brca1 dna gene analy known fam var CPT 81215 | $87.98 | $166.00 | $136.31 – $1,174.40 | 16 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $957.10 | 13 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $898.64 | 13 |
| Brca2 dna gene analy full seq analy CPT 81216 | $1,365.28 | $2,576.00 | $185.12 – $589.16 | 16 |
| Brca2 dna gene analy known fam var CPT 81217 | $87.98 | $166.00 | $136.31 – $1,174.40 | 16 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $898.64 | 13 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $167.48 | $316.00 | $258.30 – $1,377.05 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,072.30 | $3,910.00 | $1,916.12 – $7,050.89 | 13 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $978.35 – $2,548.64 | 6 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,184.24 | $6,008.00 | $245.48 – $2,403.34 | 6 |
| Breast punct aspir cyst, bil CPT 19000 | $2,057.46 | $3,882.00 | $67.35 – $1,506.85 | 9 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,841.78 – $5,927.21 | 6 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,793.51 – $6,989.52 | 6 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $2,458.61 – $6,173.86 | 6 |
| Breast reduction CPT 19318 | not published | not published | $1,728.05 – $4,308.85 | 6 |
| Breath hydrogen test 91065 CPT 91065 | $138.86 | $262.00 | $16.08 – $335.08 | 9 |
| Breathing response hypoxia CPT 94450 | not published | not published | $32.16 – $335.08 | 9 |
| Breath recording infant CPT 94772 | not published | not published | $191.01 – $1,136.37 | 9 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $295.47 | 16 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $34.61 | 16 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $201.40 | $380.00 | $245.70 – $323.61 | 5 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $1,031.91 | $1,947.00 | $224.50 – $1,028.08 | 9 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $102.82 | $194.00 | $105.81 – $489.01 | 6 |
| Bronch ebus samplng 1/2 node CPT 31652 | $1,486.12 | $2,804.00 | $349.35 – $4,387.04 | 6 |
| Bronch ebus samplng 3/> node CPT 31653 | $1,560.32 | $2,944.00 | $387.28 – $4,575.72 | 6 |
| Bronchial allergy tests CPT 95070 | $143.63 | $271.00 | $55.64 – $1,136.37 | 9 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $169.71 – $1,091.75 | 9 |
| Bronchial challenge CPT 94070 | $1,259.28 | $2,376.00 | $45.32 – $666.91 | 9 |
| Bronchial valve init insert CPT 31647 | not published | not published | $325.67 – $842.84 | 6 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $106.84 – $274.50 | 6 |
| Bronchial valve remov init CPT 31648 | not published | not published | $311.41 – $799.21 | 6 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $341.60 – $877.73 | 6 |
| Bronchoscopy clear airways 31645 CPT 31645 | $3,904.51 | $7,367.00 | $232.65 – $1,145.08 | 6 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $311.54 – $792.08 | 6 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $355.08 – $904.91 | 6 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,848.64 | $3,488.00 | $78.11 – $265.78 | 6 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $6,839.12 | $12,904.00 | $279.45 – $1,476.02 | 6 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $99.55 – $327.90 | 6 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $6,839.12 | $12,904.00 | $295.15 – $1,805.35 | 6 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $389.96 – $995.40 | 6 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $401.68 – $1,025.45 | 6 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $3,903.98 | $7,366.00 | $246.79 – $1,398.62 | 6 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $3,904.51 | $7,367.00 | $275.77 – $1,233.66 | 6 |
| Bronchoscopy w/markers CPT 31626 | $568.69 | $1,073.00 | $308.74 – $3,335.35 | 6 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $392.29 – $1,004.17 | 6 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $314.11 – $790.11 | 6 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $319.40 – $837.88 | 6 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $298.79 – $6,866.64 | 6 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $188.99 – $415.78 | 3 |
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.