Ascension SE Wisconsin Hospital - St. Joseph Campus
5000 W. Chambers St, Milwaukee, WI · Ascension · · NPI 1427007384
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 |
|---|---|---|---|---|
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $1,195.35 – $1,195.35 | 1 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $9,801.81 – $9,801.81 | 1 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $6,383.52 – $6,383.52 | 1 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $5,513.31 – $5,513.31 | 1 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $5,666.77 – $5,666.77 | 1 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $6,331.19 – $6,331.19 | 1 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,096.15 – $2,096.15 | 1 |
| Bx liver with other CPT 47001 | not published | not published | $373.45 – $373.45 | 1 |
| Bx muscle CPT 20200 | not published | not published | $743.80 – $743.80 | 1 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $811.57 – $811.57 | 1 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $302.90 – $1,222.21 | 2 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $295.30 – $1,019.82 | 2 |
| Bx pancreas pq ndl CPT 48102 | $1,084.91 | $2,047.00 | $1,943.78 – $1,943.78 | 1 |
| Bx perianal mass CPT 46999 | not published | not published | $885.29 – $1,239.41 | 3 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $551.03 – $551.03 | 1 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $1,368.46 – $1,368.46 | 1 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,007.78 – $2,007.78 | 1 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $784.61 – $784.61 | 1 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $421.35 | $795.00 | $259.94 – $259.94 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | $230.02 | $434.00 | $220.37 – $220.37 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $230.02 | $434.00 | $192.39 – $192.39 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $921.42 – $921.42 | 1 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,242.57 – $1,242.57 | 1 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $2,477.91 – $2,477.91 | 1 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,593.90 – $1,593.90 | 1 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $934.85 – $934.85 | 1 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $998.00 – $998.00 | 1 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $981.77 – $981.77 | 1 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $730.34 | $1,378.00 | $412.54 – $956.48 | 4 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $320.74 – $1,183.71 | 4 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $296.68 – $1,183.71 | 4 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $136.97 – $136.97 | 1 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $589.08 – $589.08 | 1 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $725.37 – $725.37 | 1 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $600.34 – $840.48 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $59.89 | $113.00 | $12.00 – $54.30 | 17 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $576.98 | $1,088.65 | $182.77 – $683.47 | 11 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $7,945.91 – $7,945.91 | 1 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $8,852.89 – $8,852.89 | 1 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $9,538.28 – $9,538.28 | 1 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $6,761.15 – $6,761.15 | 1 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $6,972.97 – $6,972.97 | 1 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $1,891.59 – $1,891.59 | 1 |
| Cabg vein five CPT 33514 | not published | not published | $9,460.25 – $9,460.25 | 1 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $7,672.46 – $7,672.46 | 1 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $8,726.48 – $8,726.48 | 1 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $8,979.34 – $8,979.34 | 1 |
| Cabg vein six or more CPT 33516 | not published | not published | $9,873.16 – $9,873.16 | 1 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $675.43 – $675.43 | 1 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $1,483.16 – $1,483.16 | 1 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $1,957.77 – $1,957.77 | 1 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $2,345.24 – $2,345.24 | 1 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $2,634.76 – $2,634.76 | 1 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $3,006.38 – $3,006.38 | 1 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $448.57 | 14 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $2,768.14 | 14 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.20 – $605.58 | 14 |
| Cadd pump refill CPT 96521 | $311.64 | $588.00 | $204.58 – $448.05 | 4 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $10.39 | $19.60 | $4.64 – $4.64 | 1 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,400.16 | $6,415.39 | $1,405.17 – $6,251.50 | 11 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $80.37 – $394.27 | 17 |
| Calcium 24 hour urine CPT 82340 | $27.03 | $51.00 | $6.03 – $27.15 | 17 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $81.85 | $154.44 | $0.04 – $5.42 | 6 |
| Calcium infusion test CPT 82331 | not published | not published | $8.57 – $31.35 | 17 |
| Calcium ionized CPT 82330 | $45.05 | $85.00 | $13.68 – $61.38 | 17 |
| Calcium total CPT 82310 | $19.08 | $36.00 | $5.16 – $23.60 | 17 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $57.86 | 17 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $51.92 | 17 |
| Caloric vestibular test CPT 92533 | not published | not published | $85.92 – $85.92 | 1 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $14.65 – $212.70 | 4 |
| Calprotectin fecal CPT 83993 | $149.46 | $282.00 | $19.63 – $88.53 | 17 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $198.70 – $198.70 | 1 |
| Campylobacter antibody CPT 86625 | not published | not published | $9.63 – $30.83 | 17 |
| Candida dna CPT 87480 | not published | not published | $20.05 – $89.70 | 17 |
| Candida dna quant CPT 87482 | not published | not published | $55.74 – $187.68 | 17 |
| Candida skin test CPT 86485 | not published | not published | $8.14 – $63.76 | 11 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $32.60 – $81.45 | 6 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | not published | 0 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | not published | 0 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $478.45 – $478.45 | 1 |
| Canthotomy 67715 CPT 67715 | not published | not published | $865.43 – $865.43 | 1 |
| Capsular contracture release CPT 23020 | not published | not published | $2,485.67 – $2,485.67 | 1 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $3,652.27 – $3,652.27 | 1 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,461.38 – $1,461.38 | 1 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $1,803.19 – $1,803.19 | 1 |
| Carbamazepine free CPT 80157 | not published | not published | $13.25 – $59.03 | 17 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $18.64 – $64.31 | 14 |
| Carbamazepine total therapeutic drug level CPT 80156 | $63.60 | $120.00 | $14.57 – $64.93 | 17 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $18.06 – $81.45 | 17 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $24.81 | 17 |
| Carbon dioxide CPT 82374 | $16.96 | $32.00 | $4.88 – $22.43 | 17 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $11.68 | $22.03 | $2.86 – $11.07 | 10 |
| Carboxyhemoglobin quantitative CPT 82375 | $39.75 | $75.00 | $12.32 – $55.48 | 17 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $3,522.16 – $3,522.16 | 1 |
| Carcinoembryonic ag (cea) CPT 82378 | $73.67 | $139.00 | $18.96 – $85.01 | 17 |
| Cardiac drug stress test CPT 93024 | not published | not published | $178.19 – $542.47 | 4 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $490.38 – $1,086.50 | 6 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $227.18 – $2,938.37 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $168.43 – $2,938.37 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,254.20 | $6,140.00 | $229.08 – $2,938.37 | 2 |
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.