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 |
|---|---|---|---|---|
| Patient recorded spirometry CPT 94014 | not published | not published | $72.93 – $854.61 | 9 |
| Patient recorded spirometry CPT 94015 | not published | not published | $49.98 – $666.91 | 9 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $832.17 | 16 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $345.30 – $10,515.00 | 6 |
| Pdgfra gene CPT 81314 | $1,291.61 | $2,437.00 | $329.51 – $1,031.25 | 16 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $193.43 – $765.72 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,171.83 – $3,549.08 | 6 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $900.80 – $1,497.69 | 6 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $542.74 – $899.43 | 6 |
| Ped crit care transport CPT 99466 | not published | not published | $376.77 – $598.61 | 6 |
| Ped crit care transport addl CPT 99467 | not published | not published | $189.67 – $303.98 | 6 |
| Ped critical care initial CPT 99471 | not published | not published | $1,257.73 – $2,259.38 | 6 |
| Ped critical care subsq CPT 99472 | not published | not published | $635.32 – $1,063.76 | 6 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $75.46 – $335.08 | 9 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $152.31 – $779.18 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,042.20 – $3,158.60 | 6 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $817.39 | $1,542.25 | $32.97 – $261.42 | 10 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $579.00 | $1,092.46 | $158.31 – $380.58 | 10 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $579.00 | $1,092.46 | $157.02 – $373.75 | 10 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,290.55 | $2,435.00 | $95.45 – $401.74 | 10 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,083.32 | $2,044.00 | $90.90 – $401.74 | 10 |
| Pelvic CT scan (without contrast) CPT 72192 | $851.18 | $1,606.00 | $85.22 – $245.18 | 10 |
| Pelvic exenteration CPT 45126 | not published | not published | $4,282.61 – $10,893.74 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,753.88 | $5,196.00 | $171.96 – $828.27 | 10 |
| Pelvic MRI (with contrast) CPT 72196 | $2,457.61 | $4,637.00 | $135.95 – $828.27 | 10 |
| Pelvic MRI (without contrast) CPT 72195 | $2,180.95 | $4,115.00 | $114.56 – $517.79 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $604.20 | $1,140.00 | $54.16 – $245.18 | 10 |
| Pelvic Ultrasound (limited) CPT 76857 | $435.13 | $821.00 | $39.02 – $245.18 | 10 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $86.90 | $163.96 | $62.00 – $118.70 | 8 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $32.62 | $61.54 | $20.83 – $61.52 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $216.68 | $408.83 | $0.90 – $3.26 | 10 |
| Penile injection CPT 54235 | not published | not published | $117.05 – $520.87 | 9 |
| Penile vascular study CPT 93980 | $1,398.14 | $2,638.00 | $93.77 – $227.74 | 9 |
| Penile vascular study CPT 93981 | not published | not published | $34.27 – $227.74 | 9 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,788.82 – $1,944.67 | 5 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,146.46 – $2,884.56 | 6 |
| Penis study CPT 54240 | not published | not published | $67.68 – $666.91 | 9 |
| Perc cryo ablate renal tum CPT 50593 | $9,154.69 | $17,273.00 | $726.33 – $17,309.05 | 6 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $18,160.98 | $34,266.00 | $27,979.00 – $28,450.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,872.44 | $29,948.00 | $27,979.00 – $28,450.00 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $17,589.11 | $33,187.00 | $27,979.00 – $28,450.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,444.84 | $31,028.00 | $27,979.00 – $28,450.00 | 3 |
| Perc rf ablate renal tumor CPT 50592 | $6,683.83 | $12,611.00 | $544.53 – $12,802.46 | 6 |
| Percut ablate liver rf CPT 47382 | $4,235.23 | $7,991.00 | $1,167.90 – $17,632.69 | 6 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $135.09 | $254.88 | $52.65 – $130.30 | 11 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $332.79 – $879.78 | 6 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $8,672.47 – $9,456.81 | 5 |
| Pericardiocentesis wwo imaging CPT 33016 | $7,049.00 | $13,300.00 | $353.67 – $909.75 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,248.73 – $3,160.20 | 6 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,130.31 – $3,100.79 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $434.20 – $1,057.06 | 6 |
| Peripheral vascular rehab CPT 93668 | $145.22 | $274.00 | $23.17 – $127.20 | 9 |
| Peri-proc device eval icd CPT 93287 | $279.84 | $528.00 | $36.50 – $85.03 | 6 |
| Peri-proc device eval pm CPT 93286 | $380.01 | $717.00 | $24.04 – $56.98 | 6 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $650.27 – $1,695.51 | 6 |
| Peritoneogram rs&i CPT 74190 | $664.09 | $1,253.00 | $36.04 – $1,174.27 | 10 |
| Perit-vens shunt pat tst CPT 78291 | $1,127.84 | $2,128.00 | $68.94 – $860.57 | 10 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,634.32 | $8,744.00 | $1,265.39 – $3,197.34 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | $18,776.31 | $35,427.00 | $1,182.93 – $3,039.74 | 6 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $201.77 – $3,102.14 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $158.78 – $1,506.85 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,781.40 – $5,107.45 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,105.82 – $3,474.96 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $25,993.32 | $49,044.00 | $2,761.95 – $3,417.80 | 5 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $42,061.33 | $79,361.00 | $2,343.15 – $2,899.56 | 5 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $25,993.32 | $49,044.00 | $2,426.49 – $3,002.64 | 5 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $25,993.32 | $49,044.00 | $1,845.77 – $2,284.07 | 5 |
| Perq p-art revsc each addl CPT 33904 | $12,996.13 | $24,521.00 | $926.39 – $1,146.36 | 5 |
| Perq plmt bile duct stent CPT 47538 | $3,726.96 | $7,032.00 | $369.70 – $17,110.00 | 6 |
| Perq plmt bile duct stent CPT 47539 | $4,433.98 | $8,366.00 | $667.74 – $18,861.11 | 6 |
| Perq plmt bile duct stent CPT 47540 | $4,877.06 | $9,202.00 | $691.54 – $19,245.15 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $615.33 | $1,161.00 | $135.91 – $1,341.11 | 9 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $855.58 – $2,082.14 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $790.99 – $1,915.73 | 6 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $151.06 – $151.06 | 1 |
| Perq transcath closure each CPT 93592 | $21,837.59 | $41,203.00 | $622.03 – $18,652.00 | 6 |
| Perq transcath closure pda CPT 93582 | $47,947.51 | $90,467.00 | $989.13 – $18,652.00 | 6 |
| Perq transcath cls aortic CPT 93591 | $43,673.59 | $82,403.00 | $1,413.01 – $18,652.00 | 6 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,709.72 – $18,652.00 | 6 |
| Perq transcath septal reduxn CPT 93583 | $47,947.51 | $90,467.00 | $1,110.17 – $18,652.00 | 6 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $868.84 – $2,249.14 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $402.41 – $1,805.19 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $531.35 – $1,699.49 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $762.30 – $2,822.03 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,210.77 – $2,936.22 | 6 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $52.73 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $22.07 | $41.65 | $16.57 – $32.46 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $125.33 | $236.47 | $79.42 – $208.04 | 10 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,452.00 | $8,400.00 | $186.88 – $3,330.77 | 7 |
| Pet CT whole body initial CPT 78816 | $4,717.00 | $8,900.00 | $188.51 – $3,330.77 | 7 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,859.88 | $5,396.00 | $113.76 – $3,330.77 | 7 |
| Pet image full body CPT 78813 | not published | not published | $150.04 – $3,330.77 | 7 |
| Pet image ltd area CPT 78811 | not published | not published | $116.08 – $2,938.37 | 7 |
| Pet image skull-thigh CPT 78812 | not published | not published | $148.02 – $3,330.77 | 7 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $168.50 – $3,330.77 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.03 – $9,528.00 | 7 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $76.85 | $145.00 | $23.20 – $98.05 | 9 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $113.95 | $215.00 | $32.21 – $144.56 | 9 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $39.22 | $74.00 | $12.53 – $50.73 | 9 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $451.77 – $1,698.14 | 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.