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 |
|---|---|---|---|---|
| #tricyclicantidprssnt CPT 80337 | not published | not published | $17.59 – $35.60 | 4 |
| Triglycerides CPT 84478 | $46.64 | $88.00 | $5.74 – $25.23 | 16 |
| Trimethobenzamide hcl inj HCPCS J3250 | $91.49 | $172.62 | $49.50 – $145.91 | 10 |
| Trim nail(s) HCPCS G0127 | $130.38 | $246.00 | $12.15 – $94.42 | 6 |
| Trim nondyst nails CPT 11719 | $167.48 | $316.00 | $12.15 – $127.20 | 9 |
| Triptorelin pamoate HCPCS J3315 | $442.02 | $834.00 | $430.73 – $794.13 | 6 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,005.50 – $3,767.90 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,167.32 – $3,946.33 | 6 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $707.18 – $1,808.72 | 6 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $325.60 – $838.94 | 6 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $233.52 – $2,038.81 | 9 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $7,103.06 | $13,402.00 | $1,573.32 – $14,677.00 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $14,984.69 | $28,273.00 | $1,476.47 – $3,825.83 | 6 |
| Trnscath plc stnt ante carotid art CPT 37218 | $6,047.83 | $11,411.00 | $1,237.04 – $3,148.96 | 6 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $6,231.21 | $11,757.00 | $313.29 – $8,641.74 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $6,231.21 | $11,757.00 | $226.46 – $7,134.84 | 6 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $12,462.42 | $23,514.00 | $462.71 – $14,750.45 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $8,040.10 | $15,170.00 | $460.17 – $6,373.70 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $12,930.94 | $24,398.00 | $586.53 – $1,510.60 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $5,359.36 | $10,112.00 | $352.51 – $918.28 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,357.44 | $4,448.00 | $186.25 – $485.04 | 6 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $12,999.84 | $24,528.00 | $516.19 – $1,329.67 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,378.97 – $4,256.29 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $336.82 – $856.70 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,067.52 – $3,048.39 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,311.84 – $3,951.13 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,132.74 – $3,416.90 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,032.22 – $3,131.09 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $800.05 – $2,464.63 | 6 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $2,146.45 | 12 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $4,471.20 – $4,471.20 | 1 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,660.59 – $4,157.36 | 6 |
| Troponin quantitative CPT 84484 | $80.56 | $152.00 | $12.47 – $42.41 | 16 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $534.05 – $4,636.69 | 9 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $2,970.65 | $5,605.00 | $608.40 – $7,171.19 | 6 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $593.33 – $1,459.44 | 6 |
| Tubular dressing HCPCS A6457 | $1.06 | $2.00 | $1.32 – $1.92 | 5 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $114.97 – $936.30 | 9 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,825.39 – $4,556.41 | 6 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,699.73 – $4,213.61 | 6 |
| Tx atrial fib pulm vein isol CPT 93656 | $56,211.80 | $106,060.00 | $1,443.40 – $18,652.00 | 6 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $233.52 – $513.74 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $233.52 – $705.82 | 9 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $926.89 – $2,414.49 | 6 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $233.52 – $1,358.54 | 9 |
| Tx contour defects >10.0 cc CPT 11954 | $200.87 | $379.00 | $175.12 – $1,310.98 | 9 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $103.88 | $196.00 | $114.12 – $1,310.98 | 9 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,442.86 – $3,572.58 | 6 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,369.01 – $3,387.34 | 6 |
| Tx l/r atrial fib addl CPT 93657 | $28,105.90 | $53,030.00 | $467.35 – $18,652.00 | 6 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $1,188.37 – $2,912.89 | 6 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $812.82 – $1,971.69 | 6 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $883.69 – $2,143.56 | 6 |
| Tx open nsl fx uncomp CPT 21325 | $1,079.08 | $2,036.00 | $725.42 – $1,727.82 | 6 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,032.92 – $2,517.69 | 6 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $956.45 – $2,334.29 | 6 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $714.63 – $1,724.13 | 6 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $233.52 – $841.69 | 9 |
| Tympanic membrane repair CPT 69610 | not published | not published | $461.36 – $1,485.72 | 6 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $894.28 – $2,136.35 | 6 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $36.75 – $335.08 | 9 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $157.94 | $298.00 | $214.28 – $1,090.63 | 9 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $2,286.53 – $5,408.88 | 6 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $2,071.88 – $4,848.41 | 6 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $557.06 | 16 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $123.09 – $364.38 | 9 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $425.15 | 11 |
| Ua w/micro/comp poc CPT 81000 | $14.84 | $28.00 | $4.02 – $13.77 | 16 |
| Ugt1a1 gene analy common variants CPT 81350 | $863.90 | $1,630.00 | $234.00 – $745.05 | 16 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $467.99 | $883.00 | $42.81 – $245.18 | 10 |
| Ultrasound bone density measure CPT 76977 | $138.86 | $262.00 | $4.15 – $245.18 | 10 |
| Ultrasound breast complete CPT 76641 | $528.41 | $997.00 | $57.56 – $245.18 | 10 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $498.73 | $941.00 | $53.58 – $188.56 | 10 |
| Ultrasound chest CPT 76604 | $504.03 | $951.00 | $45.12 – $245.18 | 10 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $284.08 | $536.00 | $34.65 – $245.18 | 10 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $28.63 – $245.18 | 10 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $40.48 – $83.82 | 6 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $46.75 – $245.18 | 10 |
| Ultrasound encephalogram CPT 76506 | $485.48 | $916.00 | $49.61 – $245.18 | 10 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $32.11 – $32.11 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $610.03 | $1,151.00 | $59.28 – $245.18 | 10 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $346.09 | $653.00 | $60.59 – $245.18 | 10 |
| Ultrasound guidance for vascular access CPT 76937 | $351.92 | $664.00 | $22.39 – $47.67 | 6 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $520.99 | $983.00 | $45.59 – $88.94 | 6 |
| Ultrasound guide intraoperative CPT 76998 | $400.15 | $755.00 | $85.54 – $203.68 | 6 |
| Ultrasound guide tissue ablation CPT 76940 | $289.91 | $547.00 | $115.75 – $202.11 | 6 |
| Ultrasound hips infant dynamic CPT 76885 | $586.71 | $1,107.00 | $58.12 – $188.56 | 10 |
| Ultrasound infant hips ltd without stress CPT 76886 | $535.30 | $1,010.00 | $49.03 – $188.56 | 10 |
| Ultrasound joint complete left CPT 76881 | $513.57 | $969.00 | $17.70 – $245.18 | 10 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $239.03 | $451.00 | $14.94 – $245.18 | 10 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $38.69 | $73.00 | $40.22 – $240.48 | 9 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $311.11 | $587.00 | $68.03 – $141.00 | 6 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $310.05 | $585.00 | $35.04 – $72.23 | 6 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $652.96 | $1,232.00 | $140.28 – $517.79 | 10 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $390.61 | $737.00 | $67.39 – $245.18 | 10 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $410.22 | $774.00 | $51.31 – $245.18 | 10 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $515.16 | $972.00 | $59.26 – $245.18 | 10 |
| Ultrasound prostate/transrectal CPT 76872 | $741.47 | $1,399.00 | $53.24 – $245.18 | 10 |
| Ultrasound retroperitoneal limited CPT 76775 | $453.15 | $855.00 | $45.08 – $245.18 | 10 |
| Ultrasound scrotum and contents CPT 76870 | $579.82 | $1,094.00 | $50.18 – $245.18 | 10 |
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.