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 |
|---|---|---|---|---|
| X-ray knee 3 views (both sides) CPT 73562 | $169.60 | $320.00 | $14.93 – $188.56 | 10 |
| X-ray knee ap standing bilateral CPT 73565 | $154.76 | $292.00 | $13.77 – $188.56 | 10 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $133.03 | $251.00 | $12.68 – $188.56 | 10 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $298.92 | $564.00 | $17.78 – $245.18 | 10 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $293.09 | $553.00 | $20.64 – $245.18 | 10 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $393.26 | $742.00 | $24.21 – $245.18 | 10 |
| X-ray male genital tract CPT 74440 | not published | not published | $29.19 – $517.79 | 10 |
| X-ray mandible complete > 4 views CPT 70110 | $213.06 | $402.00 | $19.52 – $245.18 | 10 |
| X-ray mandible ltd <4 views CPT 70100 | $154.23 | $291.00 | $14.38 – $188.56 | 10 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $26.52 – $57.08 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $198.22 | $374.00 | $13.80 – $188.56 | 10 |
| X-ray neck soft tissue CPT 70360 | $162.18 | $306.00 | $14.38 – $188.56 | 10 |
| X-ray nose to rectum for foreign body child CPT 76010 | $94.34 | $178.00 | $14.38 – $188.56 | 10 |
| X-ray of mammary ducts CPT 77054 | $361.46 | $682.00 | $35.04 – $517.79 | 10 |
| X-ray optic foramina CPT 70190 | not published | not published | $17.75 – $188.56 | 10 |
| X-ray pelvis 1-2 views CPT 72170 | $152.11 | $287.00 | $13.80 – $245.18 | 10 |
| X-ray pelvis complete > 3 views CPT 72190 | $198.75 | $375.00 | $20.06 – $245.18 | 10 |
| Xray place dist ext thor ao CPT 75959 | $1,818.43 | $3,431.00 | $0.03 – $9,528.00 | 7 |
| Xray place prox ext thor ao CPT 75958 | $1,818.43 | $3,431.00 | $0.03 – $9,528.00 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $539.01 | $1,017.00 | $40.17 – $828.27 | 10 |
| X-ray ribs 2 views left CPT 71100 | $239.03 | $451.00 | $17.78 – $188.56 | 10 |
| X-ray ribs 3 views bilateral CPT 71110 | $262.88 | $496.00 | $22.90 – $245.18 | 10 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $239.03 | $451.00 | $21.22 – $245.18 | 10 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $262.88 | $496.00 | $25.36 – $245.18 | 10 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $199.81 | $377.00 | $17.82 – $245.18 | 10 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $182.32 | $344.00 | $13.80 – $188.56 | 10 |
| X-ray scapula complete (both sides) CPT 73010 | $169.60 | $320.00 | $14.35 – $245.18 | 10 |
| X-ray sella turcica CPT 70240 | not published | not published | $14.96 – $188.56 | 10 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $142.04 | $268.00 | $12.10 – $188.56 | 10 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $320.12 | $604.00 | $17.24 – $188.56 | 10 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $493.43 | $931.00 | $40.60 – $1,174.27 | 10 |
| X-ray skull < 4 views CPT 70250 | $172.78 | $326.00 | $14.38 – $245.18 | 10 |
| X-ray skull > 4 views complete CPT 70260 | $257.05 | $485.00 | $22.34 – $245.18 | 10 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $46.17 – $245.18 | 10 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $461.10 | $870.00 | $63.26 – $401.74 | 10 |
| X-ray small intestine follow-through study CPT 74248 | $179.67 | $339.00 | $54.72 – $115.84 | 6 |
| X-ray spine single view CPT 72020 | $172.78 | $326.00 | $12.68 – $188.56 | 10 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $244.86 | $462.00 | $17.24 – $188.56 | 10 |
| X-ray sternum > 2 views CPT 71120 | $178.61 | $337.00 | $15.54 – $188.56 | 10 |
| X-ray surgical specimen CPT 76098 | $289.91 | $547.00 | $24.79 – $1,174.27 | 10 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $253.87 | $479.00 | $41.65 – $401.74 | 10 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $242.74 | $458.00 | $18.94 – $188.56 | 10 |
| X-ray thoracic spine 2 views CPT 72070 | $166.95 | $315.00 | $16.08 – $245.18 | 10 |
| X-ray thoracic spine 3 views CPT 72072 | $199.81 | $377.00 | $17.82 – $245.18 | 10 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $170.66 | $322.00 | $16.66 – $188.56 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $116.07 | $219.00 | $20.64 – $188.56 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $152.64 | $288.00 | $24.79 – $245.18 | 10 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $171.72 | $324.00 | $12.68 – $188.56 | 10 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $126.67 | $239.00 | $10.40 – $188.56 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $359.34 | $678.00 | $70.09 – $401.74 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $269.24 | $508.00 | $63.22 – $401.74 | 10 |
| X-ray wrist 2 views (both sides) CPT 73100 | $151.05 | $285.00 | $13.23 – $188.56 | 10 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $46.21 – $401.74 | 10 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $278.06 – $431.78 | 6 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $118.78 – $315.72 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $51.59 | 16 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $50.95 | 16 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $2.51 | $4.73 | $1.74 – $4.61 | 10 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $201.74 | 16 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $66.48 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $50.51 | $95.31 | $9.66 – $29.77 | 10 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $85.57 | $161.46 | $8.41 – $27.72 | 10 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $219.35 – $726.48 | 9 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $425.15 | 11 |
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.