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 |
|---|---|---|---|---|
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,387.65 | $4,505.00 | $157.70 – $418.98 | 10 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $68.90 | $130.00 | $50.95 – $103.57 | 8 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $1,145.60 | $2,161.50 | $75.00 – $871.54 | 10 |
| Great toe-hand transfer CPT 26551 | not published | not published | $5,179.12 – $12,837.67 | 6 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $233.52 – $711.19 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $797.73 – $2,289.89 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $805.09 – $2,268.08 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $231.88 – $711.97 | 6 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $760.61 – $1,890.88 | 6 |
| Group behave couns 2-10 HCPCS G0473 | $94.87 | $179.00 | $18.56 – $46.36 | 4 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $66.25 | $125.00 | $23.29 – $61.68 | 6 |
| Group train without patient HCPCS G0543 | $47.17 | $89.00 | $86.91 – $86.91 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $68.78 | 16 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $342.71 | 16 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $404.76 | 16 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $43.76 – $236.60 | 16 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $19.80 – $63.80 | 8 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $17.17 – $63.80 | 8 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,935.32 – $7,401.77 | 6 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,967.00 – $4,936.81 | 6 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,527.70 – $6,263.00 | 6 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,763.89 – $6,946.79 | 6 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,860.07 – $4,694.30 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,088.92 – $2,716.41 | 6 |
| G-tube reposition CPT 43761 | $488.13 | $921.00 | $162.08 – $520.87 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $64.41 – $4,034.23 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | $559.68 | $1,056.00 | $215.12 – $2,725.21 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,104.18 | $2,083.35 | $555.54 – $803.53 | 4 |
| Guid loc target vol rad tx CPT 77387 | $491.31 | $927.00 | $43.59 – $253.98 | 6 |
| Gum graft CPT 41870 | not published | not published | $488.77 – $1,183.38 | 6 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $683.52 – $2,153.44 | 6 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $122.37 – $1,310.98 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $388.93 – $1,456.12 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $388.93 – $1,994.40 | 9 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $24.89 | $46.96 | $8.80 – $26.78 | 10 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $22.04 | $41.59 | $0.99 – $4.33 | 10 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $7.21 – $17.89 | 8 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,362.77 – $3,192.10 | 6 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,081.76 – $2,510.14 | 6 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,226.13 – $2,850.73 | 6 |
| Hand X-ray CPT 73130 | $163.24 | $308.00 | $13.80 – $188.56 | 10 |
| Haptoglobin quantitative CPT 83010 | $79.50 | $150.00 | $12.58 – $55.01 | 16 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $136.37 – $345.59 | 6 |
| Harvest auto stem cells CPT 38206 | not published | not published | $135.29 – $344.20 | 6 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $193.60 – $1,026.93 | 6 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $663.49 – $1,641.89 | 6 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $507.37 – $1,314.62 | 6 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $75.67 – $936.30 | 9 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $467.45 – $1,212.08 | 6 |
| Hast w/i&r phys/qhp CPT 94452 | $363.05 | $685.00 | $22.97 – $276.06 | 9 |
| Hast w/oxygen titrate CPT 94453 | $377.36 | $712.00 | $29.97 – $276.06 | 9 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,910.76 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $407.57 | $769.00 | $202.40 – $644.18 | 16 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,194.37 | 16 |
| Hbb full gene sequence CPT 81364 | $496.61 | $937.00 | $324.58 – $1,033.89 | 16 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $557.06 | 16 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $644.18 | 16 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,194.37 | 16 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $42.41 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $667.27 | $1,259.00 | $65.31 – $483.66 | 6 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $34.26 – $74.37 | 6 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $244.33 | $461.00 | $92.02 – $401.74 | 10 |
| Hcg free betachain test CPT 84704 | $54.59 | $103.00 | $15.29 – $65.33 | 16 |
| Hcg qualitative CPT 84703 | $78.97 | $149.00 | $7.52 – $33.23 | 16 |
| Hcg quantitative CPT 84702 | $155.29 | $293.00 | $15.05 – $65.33 | 16 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $59.47 – $129.43 | 6 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $35.94 – $78.26 | 6 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $114.97 – $251.12 | 6 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $90.30 – $197.40 | 6 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $217.23 – $701.18 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $569.23 – $2,639.46 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $303.16 – $1,582.89 | 6 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $510.31 – $2,473.53 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $80.39 – $309.96 | 6 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $280.77 – $1,513.68 | 6 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $75.79 – $1,152.80 | 10 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $391.17 – $860.57 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $38.44 – $860.57 | 10 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $70.69 – $1,152.80 | 10 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,658.48 | $5,016.00 | $120.29 – $2,938.37 | 7 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $28,163.67 | $53,139.00 | $201.21 – $520.13 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,235.65 | $6,105.00 | $169.06 – $1,485.90 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,902.28 | $5,476.00 | $330.34 – $1,485.90 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $3,410.55 | $6,435.00 | $465.56 – $1,485.90 | 9 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $91.31 – $563.22 | 9 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $121.69 – $563.22 | 9 |
| Head CT scan (with and without contrast) CPT 70470 | $1,264.58 | $2,386.00 | $99.60 – $401.74 | 10 |
| Head CT scan (with contrast) CPT 70460 | $935.45 | $1,765.00 | $88.62 – $401.74 | 10 |
| Head CT scan (without contrast) CPT 70450 | $852.24 | $1,608.00 | $66.66 – $245.18 | 10 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $6,990.00 | 16 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,706.25 – $6,990.00 | 13 |
| Heart first pass add-on CPT 78496 | not published | not published | $30.28 – $66.03 | 6 |
| Heart first pass multiple CPT 78483 | not published | not published | $113.32 – $1,152.80 | 10 |
| Heart image spect CPT 78494 | not published | not published | $91.72 – $860.57 | 10 |
| Heart infarct image CPT 78466 | not published | not published | $54.16 – $860.57 | 10 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $61.22 – $1,152.80 | 10 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $2,342.19 – $5,961.48 | 6 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $196.03 – $502.70 | 6 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $82.54 | 16 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $18.32 | 16 |
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.