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 |
|---|---|---|---|---|
| T3 (triiodothyronine) total CPT 84480 | $121.37 | $229.00 | $14.18 – $61.91 | 16 |
| T4 (thyroxine) free CPT 84439 | $91.69 | $173.00 | $9.02 – $38.96 | 16 |
| T4 (thyroxine) total CPT 84436 | $71.02 | $134.00 | $6.87 – $29.82 | 16 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $3.05 | $5.76 | $0.30 – $0.88 | 10 |
| Tacrolimus therapeutic drug level CPT 80197 | $113.95 | $215.00 | $13.73 – $59.60 | 16 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $3,418.50 – $8,502.09 | 6 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $3,162.75 – $7,847.15 | 6 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,961.46 – $4,942.22 | 6 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $125.38 – $1,123.48 | 6 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $102.20 – $725.54 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,396.88 | $8,296.00 | $131.32 – $2,377.07 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,725.37 | $7,029.00 | $3,065.58 – $9,295.88 | 13 |
| Target gsa panel organ neop CPT 81445 | $1,134.73 | $2,141.00 | $131.32 – $1,913.05 | 16 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,124.91 – $2,944.01 | 6 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $206.18 – $1,310.98 | 9 |
| Tavr perq femoral CPT 33361 | $56,327.34 | $106,278.00 | $1,810.30 – $4,761.10 | 6 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.58 | $2.99 | $0.47 – $1.34 | 10 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $435.57 | 13 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $65.70 – $137.22 | 7 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $16.08 – $35.01 | 7 |
| Tbs techl calculation only CPT 77091 | $115.54 | $218.00 | $45.61 – $188.56 | 10 |
| Tbs techl prep&transmis data CPT 77090 | $115.54 | $218.00 | $4.01 – $188.56 | 10 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $120.31 | $227.00 | $100.00 – $326.66 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $119.25 | $225.00 | $61.98 – $270.51 | 16 |
| Tc-99m exametazime diag HCPCS A9521 | $3,733.85 | $7,045.00 | $1,323.86 – $4,937.19 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $238.50 | $450.00 | $138.42 – $290.57 | 7 |
| Tc-99m maa HCPCS A9540 | $429.30 | $810.00 | $44.46 – $93.33 | 7 |
| Tc-99m mebrofenin HCPCS A9537 | $219.42 | $414.00 | $81.98 – $187.21 | 7 |
| Tc-99m medronate HCPCS A9503 | $153.70 | $290.00 | $19.27 – $97.66 | 7 |
| Tc-99m mertiatide HCPCS A9562 | $1,225.36 | $2,312.00 | $1,148.21 – $1,283.16 | 5 |
| Tc-99m oxidronate HCPCS A9561 | $1,202.57 | $2,269.00 | $65.21 – $136.88 | 7 |
| Tc-99m pentetate dtpa HCPCS A9539 | $369.41 | $697.00 | $41.63 – $97.48 | 7 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $180.20 | $340.00 | $27.26 – $53.99 | 7 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $157.41 | $297.00 | $63.51 – $199.26 | 7 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $260.23 | $491.00 | $286.00 – $292.25 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $639.18 | $1,206.00 | $396.24 – $831.77 | 7 |
| Tc-99m tilmanocept diag HCPCS A9520 | $519.93 | $981.00 | $958.39 – $980.46 | 5 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $595.90 – $2,135.49 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $96.70 – $227.74 | 9 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $95.80 – $227.74 | 9 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $82.42 – $188.92 | 5 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $126.91 – $936.30 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $347.15 | $655.00 | $46.98 – $205.19 | 16 |
| T cells absolute cd 4 count CPT 86361 | $162.71 | $307.00 | $26.78 – $116.92 | 16 |
| T cells total count CPT 86359 | $233.73 | $441.00 | $37.73 – $163.92 | 16 |
| Tcranial magn stim tx deli CPT 90868 | $882.45 | $1,665.00 | $303.14 – $790.39 | 9 |
| Tcranial magn stim tx plan CPT 90867 | $912.13 | $1,721.00 | $303.14 – $1,360.01 | 9 |
| Tcran magn stim redetemine CPT 90869 | $897.29 | $1,693.00 | $303.14 – $1,139.93 | 9 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $706.76 – $1,717.08 | 6 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,523.73 – $3,921.32 | 6 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $57.53 – $96.27 | 6 |
| Team conf without pat by phys CPT 99367 | not published | not published | $88.16 – $146.83 | 6 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $65.47 – $111.80 | 6 |
| Telehealth original site facility fee HCPCS Q3014 | $55.65 | $105.00 | $48.69 – $98.61 | 5 |
| Telethx isodose plan cplx CPT 77307 | $4,756.22 | $8,974.00 | $217.99 – $783.99 | 9 |
| Telethx isodose plan simple CPT 77306 | $1,449.02 | $2,734.00 | $120.77 – $783.99 | 9 |
| Temperature gradient studies CPT 93740 | not published | not published | $4.69 – $335.08 | 9 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,116.33 – $2,116.33 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | $1,050.70 – $2,404.53 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $929.49 – $2,274.52 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $1,024.54 – $2,353.20 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,497.67 – $3,521.82 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $222.72 | $420.22 | $165.20 – $324.91 | 8 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $962.91 – $2,404.49 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $996.88 – $2,320.76 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,147.31 – $2,398.09 | 5 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,238.25 – $3,048.06 | 6 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $831.22 – $2,020.07 | 6 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $1,137.86 – $2,830.31 | 6 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $475.66 – $1,808.63 | 6 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $390.97 – $1,555.46 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $24.81 | $46.81 | $1.52 – $23.76 | 10 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $588.03 | 13 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $26.36 | 16 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $18.32 | 16 |
| Test for urine cystines CPT 82615 | $15.37 | $29.00 | $9.55 – $35.54 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $55.86 – $860.57 | 10 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $199.52 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $1,591.59 | $3,003.00 | $57.83 – $666.91 | 9 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $35.21 | 16 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $41.81 | 16 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $13.99 | 16 |
| Tetanus ig im CPT 90389 | not published | not published | $348.91 – $2,217.56 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $435.57 | 13 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $2,544.43 | 11 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $3,065.58 – $9,780.66 | 8 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,003.00 | 11 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $82.47 – $367.00 | 9 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $82.47 – $367.00 | 9 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $82.47 – $367.00 | 9 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $52.01 – $114.42 | 9 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $45.39 – $936.30 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $91.69 | $173.00 | $14.14 – $61.91 | 16 |
| Therapeutic procd strg endur HCPCS G0237 | $86.39 | $163.00 | $14.35 – $32.12 | 6 |
| Therapy activation ipnss CPT 93150 | not published | not published | $89.36 – $379.66 | 7 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $66.25 | $125.00 | $34.59 – $136.27 | 9 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $66.25 | $125.00 | $30.14 – $117.96 | 9 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $193.43 – $476.89 | 9 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $191.10 – $466.42 | 6 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $163.78 – $401.74 | 10 |
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.