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 |
|---|---|---|---|---|
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,182.91 – $2,958.36 | 6 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $621.16 | $1,172.00 | $174.62 – $603.60 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $583.00 | $1,100.00 | $87.94 – $425.55 | 9 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $726.63 | $1,371.00 | $205.33 – $855.65 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $71.23 – $1,310.98 | 9 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,370.20 – $3,339.16 | 6 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $453.90 – $1,145.66 | 6 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $140.01 – $383.68 | 6 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $140.01 – $387.86 | 6 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,206.71 – $3,015.84 | 6 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $894.97 – $2,176.77 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $187.71 – $1,112.49 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $297.91 – $1,729.91 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $133.79 – $1,506.85 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $320.40 – $1,201.96 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $506.29 – $1,365.75 | 6 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $789.48 – $1,925.57 | 6 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $675.60 – $1,652.10 | 6 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $677.62 – $1,676.90 | 6 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $374.99 – $1,445.21 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $266.78 – $888.92 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,690.57 – $4,262.24 | 6 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,550.01 – $3,873.27 | 6 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,139.03 – $2,806.41 | 6 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,451.81 – $6,159.18 | 6 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $252.84 – $845.54 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $220.24 – $1,090.63 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $3.36 | $6.34 | $0.90 – $3.15 | 10 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $20.08 | $37.88 | $12.58 – $27.85 | 8 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $1,357.71 | $2,561.72 | $14.79 – $39.62 | 10 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $994.81 | $1,877.00 | $14.63 – $40.90 | 10 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $1,446.37 | $2,729.00 | $10.48 – $30.62 | 10 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $367.29 | $693.00 | $10.02 – $69.24 | 8 |
| Drug admin & hemodynmic meas CPT 93463 | $364.64 | $688.00 | $156.60 – $360.08 | 6 |
| Drug assay caffeine CPT 80155 | $114.48 | $216.00 | $28.21 – $120.71 | 16 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $85.89 | 13 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $90.82 | 12 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $122.21 | 13 |
| Drug assay voriconazole CPT 80285 | $265.00 | $500.00 | $27.11 – $85.89 | 13 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $58.93 | 12 |
| Drug of abuse screen urine CPT 80305 | $69.96 | $132.00 | $12.60 – $42.41 | 16 |
| Drug screening tapentadol CPT 80372 | not published | not published | $31.52 – $79.09 | 8 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $84.84 | 16 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $31.67 – $79.09 | 8 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $57.32 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $668.86 | $1,262.00 | $62.14 – $228.10 | 16 |
| Drvvt confirm - quest CPT 85597 | $60.95 | $115.00 | $17.98 – $77.95 | 16 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $409.00 – $1,171.08 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $234.65 – $1,621.26 | 6 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $324.36 – $1,128.98 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $273.68 – $969.77 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $319.11 – $1,310.98 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $431.14 – $1,419.71 | 9 |
| Ductogram sgl duct CPT 77053 | $298.39 | $563.00 | $28.22 – $517.79 | 10 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,734.08 – $6,896.08 | 6 |
| Duodenal motility study CPT 91022 | not published | not published | $118.71 – $1,136.37 | 9 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,529.05 | $2,885.00 | $59.21 – $517.68 | 9 |
| Duplex scan unilateral study 93986 CPT 93986 | $1,018.13 | $1,921.00 | $37.18 – $227.74 | 9 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $714.44 | $1,348.00 | $36.28 – $227.74 | 9 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,876.20 | $3,540.00 | $38.10 – $335.08 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,561.38 | $2,946.00 | $60.67 – $517.68 | 9 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $127.78 | $241.09 | $90.74 – $167.74 | 8 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $24.04 – $245.18 | 10 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $152.31 – $335.08 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $78.70 – $78.70 | 4 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,904.51 | $7,367.00 | $209.68 – $1,170.96 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,945.32 | $7,444.00 | $212.40 – $1,109.02 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,904.51 | $7,367.00 | $207.37 – $1,072.50 | 6 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $75.16 – $854.61 | 9 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $81.19 – $2,007.94 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $122.18 – $2,007.94 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $58.92 – $722.42 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $95.00 – $685.40 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $248.12 – $831.62 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $248.88 – $613.20 | 6 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $0.03 – $9,528.00 | 5 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $182.78 – $564.65 | 9 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $27.52 – $63.79 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $34.75 – $666.91 | 9 |
| Ear and throat examination CPT 92502 | not published | not published | $154.48 – $1,090.63 | 9 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $102.03 – $557.89 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $917.88 – $2,874.26 | 6 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $24.80 – $127.20 | 9 |
| Ear protector evaluation CPT 92596 | not published | not published | $38.21 – $232.32 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $349.80 | $660.00 | $10.03 – $127.20 | 9 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $11.02 – $25.53 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $206.17 | $389.00 | $9.49 – $127.20 | 9 |
| Ecg < 30 days transmission & analysis CPT 93271 | $1,329.24 | $2,508.00 | $89.36 – $590.96 | 9 |
| Ecg external < 48 hours recording CPT 93225 | $1,277.30 | $2,410.00 | $29.73 – $276.06 | 9 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,281.54 | $2,418.00 | $57.82 – $128.43 | 9 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $1,302.21 | $2,457.00 | $19.33 – $84.06 | 9 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $1,302.21 | $2,457.00 | $19.33 – $84.06 | 9 |
| Ecg record/review CPT 93268 | not published | not published | $291.74 – $714.91 | 6 |
| Ecg/review interpret only CPT 93272 | not published | not published | $39.63 – $93.09 | 6 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,501.71 | $6,607.00 | $112.74 – $1,174.27 | 9 |
| Echocardiography doppler color flow mapping CPT 93325 | $677.87 | $1,279.00 | $5.13 – $11.88 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $2,528.10 | $4,770.00 | $40.75 – $517.68 | 9 |
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.