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 |
|---|---|---|---|---|
| Ultrasound spinal canal and contents CPT 76800 | $701.19 | $1,323.00 | $95.17 – $245.18 | 10 |
| Ultrasound transabd ea addl gest CPT 76812 | $440.96 | $832.00 | $141.03 – $304.08 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $520.99 | $983.00 | $54.71 – $245.18 | 10 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $127.06 – $401.74 | 10 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $66.66 – $140.93 | 6 |
| Ultraviolet therapy CPT 97028 | $22.26 | $42.00 | $7.65 – $23.66 | 9 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $233.02 – $278.84 | 5 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $296.12 – $1,972.14 | 9 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $564.20 – $1,707.81 | 6 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.84 – $52.45 | 3 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.84 – $52.45 | 3 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $1.12 – $98.82 | 4 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted CT procedure CPT 76497 | not published | not published | $67.80 – $188.56 | 9 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $391.17 – $860.57 | 8 |
| Unlisted cytogenetic study CPT 88299 | $137.27 | $259.00 | $16.15 – $114.42 | 9 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $16.15 – $114.42 | 9 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $152.31 – $335.08 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $391.17 – $860.57 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $195.83 – $430.83 | 3 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $71.25 – $188.56 | 9 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $391.17 – $860.57 | 8 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $391.17 – $860.57 | 8 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $6,662.00 – $7,655.00 | 5 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $195.83 – $430.83 | 3 |
| Unlisted maaa CPT 81599 | not published | not published | $6,662.00 – $7,655.00 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted misc path test CPT 89240 | not published | not published | $16.15 – $114.42 | 9 |
| Unlisted mr procedure CPT 76498 | not published | not published | $59.66 – $188.56 | 9 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $391.17 – $860.57 | 8 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $152.31 – $335.08 | 3 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $391.17 – $860.57 | 8 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.84 – $52.45 | 3 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.84 – $52.45 | 3 |
| Unlisted procedure colon CPT 45399 | not published | not published | $887.53 – $1,952.57 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $912.70 – $2,007.94 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $291.00 – $640.20 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $684.93 – $1,506.85 | 3 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $6,662.00 – $7,655.00 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $291.00 – $640.20 | 3 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $684.93 – $1,506.85 | 3 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $887.53 – $1,952.57 | 3 |
| Unlisted procedure spine CPT 22899 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,445.32 – $3,591.31 | 6 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $29.00 – $63.80 | 3 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $912.70 – $2,007.94 | 3 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $153.61 – $337.94 | 3 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $291.00 – $640.20 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $684.93 – $1,506.85 | 3 |
| Unlisted px external ear CPT 69399 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $291.00 – $640.20 | 3 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $291.00 – $640.20 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $236.76 – $520.87 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $129.25 – $284.35 | 3 |
| Unlisted px middle ear CPT 69799 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $233.52 – $513.74 | 3 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px small intestine CPT 44799 | not published | not published | $912.70 – $2,007.94 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $129.25 – $284.35 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $226.06 – $497.33 | 3 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $16.15 – $114.42 | 9 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $391.17 – $860.57 | 8 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $193.43 – $425.55 | 3 |
| Unlisted surgical path px CPT 88399 | not published | not published | $16.15 – $114.42 | 9 |
| Unlisted transfusion med px CPT 86999 | $283.02 | $534.00 | $21.46 – $52.45 | 9 |
| Unlisted ultrasound procedure CPT 76999 | $155.29 | $293.00 | $85.71 – $188.56 | 8 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $6,662.00 – $7,655.00 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $601.86 – $1,324.09 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $391.17 – $860.57 | 8 |
| Upgrade pm system CPT 33214 | $14,269.19 | $26,923.00 | $737.63 – $1,851.85 | 6 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,271.69 | $6,173.00 | $179.52 – $828.27 | 10 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,121.06 | $4,002.00 | $139.93 – $828.27 | 10 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,100.39 | $3,963.00 | $116.26 – $517.79 | 10 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,184.66 | $4,122.00 | $193.51 – $2,007.94 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,318.75 | $4,375.00 | $218.45 – $2,007.94 | 9 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $276.56 – $978.10 | 6 |
| Uppr gi scope w/submuc inj CPT 43236 | $770.62 | $1,454.00 | $218.09 – $2,007.94 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,014.90 – $2,546.02 | 6 |
| Urea nitrogen CPT 84520 | $39.75 | $75.00 | $3.95 – $17.19 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $39.22 | $74.00 | $5.56 – $20.64 | 16 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $28.64 | 16 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $16.06 | 16 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $277.69 – $7,583.07 | 6 |
| Ureteral reflux study CPT 78740 | not published | not published | $43.04 – $860.57 | 10 |
| Ureter endoscopy CPT 50970 | not published | not published | $580.82 – $1,479.77 | 6 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $552.52 – $1,702.85 | 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.