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 |
|---|---|---|---|---|
| Ghs phenylketonurid CPT 84030 | $36.04 | $68.00 | $5.50 – $24.09 | 16 |
| Ghs picc line insert < 5 CPT 36568 | $2,307.09 | $4,353.00 | $145.23 – $1,066.60 | 6 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $233.52 – $1,335.99 | 9 |
| Ghs plt ct-manual CPT 85032 | $31.27 | $59.00 | $4.31 – $18.32 | 16 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,011.99 | $5,683.00 | $202.67 – $2,178.90 | 9 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $6.75 – $276.06 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $19.19 | $36.20 | $8.14 – $52.45 | 12 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $79.50 | $150.00 | $9.66 – $42.41 | 16 |
| Ghs protein, misc fluid CPT 84160 | $27.03 | $51.00 | $5.61 – $20.00 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $122.43 | $231.00 | $14.35 – $63.05 | 16 |
| Ghs pr without cont pulse ox CPT 94625 | $262.88 | $496.00 | $57.82 – $240.32 | 9 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $91.69 | $173.00 | $12.25 – $53.87 | 16 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $321.18 | $606.00 | $194.98 – $425.73 | 6 |
| Ghs quinidine CPT 80194 | $114.48 | $216.00 | $14.60 – $64.19 | 16 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $145.20 – $710.36 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $125.48 – $754.44 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $202.15 – $854.61 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $985.93 – $2,281.57 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $796.93 – $1,934.30 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $13.78 – $49.79 | 16 |
| Ghs reticulocyte count CPT 85044 | $24.38 | $46.00 | $4.31 – $18.32 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $113.95 | $215.00 | $13.91 – $52.73 | 16 |
| Ghs sedimentation rate CPT 85651 | $36.57 | $69.00 | $4.27 – $14.91 | 16 |
| Ghs semen analysis fert CPT 89320 | $102.82 | $194.00 | $12.31 – $52.73 | 16 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $38.96 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $53.00 | $100.00 | $7.48 – $29.82 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $145.91 – $855.65 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $197.00 – $855.65 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $179.38 – $855.65 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $235.08 – $855.65 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $115.02 – $545.71 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $113.02 – $503.97 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $145.01 – $659.32 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $193.43 – $895.77 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $193.43 – $672.85 | 9 |
| Ghs sleep study unattended CPT 95800 | $1,217.41 | $2,297.00 | $66.11 – $335.08 | 9 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $44.61 – $666.91 | 9 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $73.25 – $1,136.37 | 9 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $74.73 | $141.00 | $46.07 – $188.55 | 9 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $160.94 – $632.19 | 9 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $6.75 – $276.06 | 9 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $209.35 | $395.00 | $97.86 – $395.49 | 9 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $27.03 – $84.06 | 9 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $29.94 – $276.06 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $269.24 | $508.00 | $69.04 – $267.14 | 9 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $25.33 – $98.82 | 9 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $205.10 – $610.60 | 9 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,116.71 | $2,107.00 | $299.51 – $1,310.98 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $224.86 – $855.65 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $497.44 – $1,257.47 | 6 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $32.09 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $233.52 – $1,249.35 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $233.52 – $1,183.10 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $105.46 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $122.43 | $231.00 | $14.71 – $64.19 | 16 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $1,212.34 – $2,833.37 | 6 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,777.09 | $3,353.00 | $516.53 – $2,413.29 | 9 |
| Ghs windowing of cast CPT 29730 | not published | not published | $70.01 – $337.94 | 9 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $52.73 | 16 |
| Giardia lamblia antibody CPT 86674 | $64.13 | $121.00 | $14.72 – $64.19 | 16 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $67.08 – $517.79 | 10 |
| Gi inhouse confirmation CPT 87045 | $84.80 | $160.00 | $9.44 – $41.27 | 16 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $487.08 – $1,773.74 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $25.36 – $860.57 | 10 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $3,917.23 | $7,391.00 | $183.94 – $2,007.94 | 9 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $198.29 – $1,952.57 | 9 |
| Gi trc img intral esophagus CPT 91111 | $4,352.89 | $8,213.00 | $73.92 – $2,007.94 | 9 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $172.77 – $2,007.94 | 9 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $6,990.00 | 16 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $6,990.00 | 16 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $6,990.00 | 16 |
| Glassia injection HCPCS J0257 | $5.33 | $10.05 | $5.86 – $9.09 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,415.73 – $3,491.44 | 6 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,414.60 – $3,488.53 | 6 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,590.18 – $3,931.04 | 6 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,761.91 – $4,354.28 | 6 |
| Glucagon plasma - sendout CPT 82943 | $89.57 | $169.00 | $14.29 – $55.21 | 16 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $224.65 | 16 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $224.65 | 16 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.59 – $58.24 | 16 |
| Glucose 1 hr post dose CPT 82950 | $40.28 | $76.00 | $4.75 – $20.64 | 16 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $50.35 | $95.00 | $6.05 – $26.36 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $20.67 | $39.00 | $3.28 – $10.32 | 16 |
| Glucose blood quantitative CPT 82947 | $41.34 | $78.00 | $3.93 – $17.19 | 16 |
| Glucose body fluid CPT 82945 | $37.63 | $71.00 | $3.93 – $17.19 | 16 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $224.72 | $424.00 | $57.82 – $192.62 | 9 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $92.75 | $175.00 | $12.87 – $56.18 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $29.15 | $55.00 | $3.92 – $17.19 | 16 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $66.57 | $125.61 | $14.43 – $40.53 | 10 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $158.47 | $299.00 | $18.58 – $81.37 | 16 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $620.12 | 16 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $181.79 | $343.00 | $18.52 – $80.23 | 16 |
| Gonioscopy CPT 92020 | not published | not published | $33.54 – $276.06 | 9 |
| Goniotomy CPT 65820 | not published | not published | $1,337.02 – $3,126.62 | 6 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $1,167.06 | $2,202.00 | $34.91 – $92.78 | 10 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $80.56 | $152.00 | $105.90 – $127.24 | 5 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,488.11 – $3,518.25 | 6 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $1,224.83 | $2,311.00 | $49.31 – $130.81 | 9 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $176.49 | $333.00 | $126.23 – $316.50 | 10 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,664.37 – $4,123.70 | 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.