Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)
2301 N Lake Dr, Milwaukee, WI · Ascension · · NPI 1871656082
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 |
|---|---|---|---|---|
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $108.90 – $443.01 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $302.06 – $1,906.70 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $94.54 – $682.40 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,240.20 | $2,340.00 | $308.33 – $1,654.43 | 6 |
| Destruction ciliary body CPT 66700 | not published | not published | $630.26 – $1,801.42 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $662.15 – $1,841.47 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $630.26 – $1,750.86 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $193.43 – $980.68 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $205.58 – $1,668.82 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $241.11 – $628.49 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $220.18 – $855.65 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $269.70 – $974.53 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $209.66 – $855.65 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $246.74 – $930.99 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $172.07 – $855.65 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $276.69 – $874.94 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $159.17 – $855.65 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,113.38 – $2,771.35 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $298.38 – $875.60 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $186.13 – $559.04 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $153.90 – $501.47 | 6 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $93.98 | 16 |
| Detect agnt mult dna direc CPT 87800 | $1,213.70 | $2,290.00 | $43.67 – $175.37 | 16 |
| Determination venous press CPT 93770 | not published | not published | $2.31 – $29.42 | 6 |
| Determine refractive state CPT 92015 | not published | not published | $31.55 – $72.30 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $171.72 | $324.00 | $17.15 – $34.63 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $152.31 – $499.50 | 9 |
| Device intraute mirena HCPCS J7298 | $1,999.72 | $3,773.06 | $1,503.83 – $3,427.38 | 7 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $59.77 – $217.27 | 6 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,163.30 – $5,441.11 | 6 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $91.99 – $223.37 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $16.08 – $188.56 | 10 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $6.12 | $11.54 | $0.05 – $0.31 | 11 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $1.43 | $2.69 | $0.14 – $0.37 | 10 |
| Dexamethasone panel CPT 80420 | not published | not published | $148.20 – $506.63 | 16 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $346.77 | $654.28 | $113.74 – $347.40 | 10 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $156.88 | $296.00 | $22.23 – $97.42 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $84.27 | $159.00 | $9.71 – $42.41 | 16 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $270.52 – $708.07 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $510.08 – $1,272.64 | 6 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $147.59 – $854.61 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $196.74 – $798.07 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $65.23 – $408.65 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $79.64 – $263.00 | 7 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $64.41 – $205.70 | 7 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $292.56 | $552.00 | $79.27 – $415.78 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $108.68 – $486.01 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $241.15 | $455.00 | $78.03 – $263.00 | 10 |
| Diagnostic Mammogram (one breast) CPT 77065 | $193.45 | $365.00 | $63.26 – $205.70 | 10 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $85.71 – $188.56 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $308.75 – $7,954.16 | 6 |
| Dialysis one evaluation CPT 90945 | $706.49 | $1,333.00 | $138.74 – $911.97 | 9 |
| Dialysis repeated eval CPT 90947 | not published | not published | $198.24 – $453.21 | 6 |
| Dialysis training complete CPT 90989 | not published | not published | $688.94 – $1,304.69 | 6 |
| Dialysis training incompl CPT 90993 | not published | not published | $149.21 – $283.83 | 6 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.69 – $20.20 | 9 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $26.35 | $49.71 | $7.58 – $16.68 | 10 |
| Dicyclomine injection HCPCS J0500 | $117.76 | $222.18 | $20.63 – $77.59 | 10 |
| Diffusing capacity CPT 94729 | $299.98 | $566.00 | $14.42 – $33.41 | 6 |
| Digital analysis of eeg CPT 95957 | $1,622.33 | $3,061.00 | $165.31 – $378.51 | 6 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $278.85 – $708.77 | 6 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $33.75 | $63.69 | $6.04 – $32.97 | 10 |
| Digoxin total therapeutic drug level CPT 80162 | $84.80 | $160.00 | $13.28 – $57.32 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $90.95 | $171.60 | $62.50 – $171.49 | 10 |
| Dilate biliary duct/ampulla CPT 47542 | $5,852.79 | $11,043.00 | $214.30 – $2,072.80 | 6 |
| Dilate esophagus CPT 43453 | $1,009.12 | $1,904.00 | $136.66 – $3,516.16 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,490.36 | $2,812.00 | $126.62 – $2,007.94 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $7,788.35 | $14,695.00 | $520.23 – $1,621.25 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $7,788.35 | $14,695.00 | $260.12 – $810.52 | 6 |
| Dilate ic vasospasm init CPT 61640 | $15,576.70 | $29,390.00 | $740.30 – $2,306.77 | 6 |
| Dilate tear duct opening CPT 68801 | not published | not published | $128.42 – $854.61 | 9 |
| Dilate urethra stricture CPT 53600 | not published | not published | $100.69 – $520.87 | 9 |
| Dilate urethra stricture CPT 53601 | not published | not published | $84.35 – $321.56 | 9 |
| Dilate urethra stricture CPT 53605 | not published | not published | $100.89 – $258.34 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $113.14 – $555.14 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $65.69 – $335.08 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $270.49 – $662.15 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $75.53 – $276.91 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $306.03 – $756.78 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $136.92 – $1,090.63 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $64.09 – $276.50 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $59.82 – $153.26 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $204.24 – $519.68 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $94.50 – $311.56 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $137.26 – $1,429.49 | 9 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $235.99 – $606.76 | 6 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $394.62 – $1,016.68 | 6 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,105.82 | $2,086.45 | $733.36 – $2,081.69 | 10 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.63 | $3.07 | $0.98 – $2.59 | 10 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $27.75 – $225.76 | 9 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $38.21 – $91.69 | 9 |
| Disability dlco CPT 94727 | $607.91 | $1,147.00 | $19.53 – $335.08 | 9 |
| Disaccharidases CPT 82657 | $335.49 | $633.00 | $22.17 – $79.09 | 16 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $755.67 – $1,834.50 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,769.07 – $4,383.23 | 6 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,308.43 – $5,719.83 | 6 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $299.30 – $755.51 | 6 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $92.17 – $3,947.38 | 7 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $153.02 – $457.36 | 6 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,266.47 – $5,576.12 | 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.