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 |
|---|---|---|---|---|
| Change of windpipe airway 31502 CPT 31502 | $126.14 | $238.00 | $128.65 – $315.69 | 4 |
| Change stent via transureth CPT 50385 | not published | not published | $4,143.43 – $4,143.43 | 1 |
| Change ureter stent percut CPT 50382 | not published | not published | $4,309.31 – $4,309.31 | 1 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $16.15 – $894.90 | 11 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $192.94 – $466.25 | 4 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $387.95 – $1,670.14 | 4 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $387.95 – $1,783.20 | 4 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $594.39 – $1,602.63 | 4 |
| Chemo adm cns w/lmbr punct CPT 96450 | $696.95 | $1,315.00 | $322.08 – $599.49 | 4 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $672.45 – $941.43 | 4 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $333.31 – $333.31 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $409.82 – $409.82 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $583.33 – $941.43 | 4 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $507.80 – $941.43 | 4 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,031.68 – $1,031.68 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $286.64 – $473.52 | 4 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $290.27 – $876.89 | 4 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $286.64 – $401.30 | 4 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $279.49 – $401.30 | 4 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $286.64 – $507.24 | 4 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $286.64 – $444.69 | 4 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $286.64 – $412.20 | 4 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $538.54 – $941.43 | 4 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $633.99 – $941.43 | 4 |
| Chemo extend IV infus w/pump HCPCS G0498 | $412.34 | $778.00 | $277.18 – $277.18 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $44.80 – $255.65 | 4 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $322.08 – $551.11 | 4 |
| Chemo ia push tecnique CPT 96420 | $462.69 | $873.00 | $322.08 – $450.91 | 4 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $204.58 – $384.74 | 4 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $69.11 – $271.32 | 4 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $72.00 | 17 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $322.08 – $450.91 | 4 |
| Chemotx admn pertl cav impl CPT 96446 | $522.05 | $985.00 | $322.08 – $647.67 | 4 |
| Chest 2 vws w oblique CPT 71048 | $202.99 | $383.00 | $55.54 – $245.18 | 6 |
| Chest apical lordotic proj CPT 71047 | $187.09 | $353.00 | $48.24 – $204.00 | 6 |
| Chest CT scan (with and without contrast) CPT 71270 | $858.60 | $1,620.00 | $172.86 – $724.00 | 6 |
| Chest CT scan (with contrast) CPT 71260 | $850.12 | $1,604.00 | $172.86 – $724.00 | 6 |
| Chest CT scan (without contrast) CPT 71250 | $841.64 | $1,588.00 | $103.26 – $724.00 | 6 |
| Chest X-ray CPT 71046 | $171.19 | $323.00 | $37.34 – $204.00 | 6 |
| Chest X-ray (single view) CPT 71045 | $115.54 | $218.00 | $31.21 – $204.00 | 6 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $57.68 – $253.61 | 4 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $270.83 | $511.00 | $119.30 – $401.74 | 5 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $939.40 – $939.40 | 1 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $931.36 | 17 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $1,171.00 | 17 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $24.57 – $177.17 | 4 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $24.57 – $94.66 | 4 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $24.57 – $136.71 | 4 |
| Chiropract manj xtrspinl 1/> CPT 98943 | not published | not published | $90.68 – $90.68 | 1 |
| Chlamydia culture CPT 87110 | $63.60 | $120.00 | $19.60 – $87.35 | 17 |
| Chlamydia trachomatis ag if CPT 87270 | $56.18 | $106.00 | $11.98 – $54.30 | 17 |
| Chlamydia type CPT 87140 | $34.45 | $65.00 | $5.57 – $21.42 | 17 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $89.70 | 17 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $192.41 | 17 |
| Chlnggrphy intraop addl s&i CPT 74301 | $161.12 | $304.00 | $35.60 – $204.00 | 2 |
| Chloride CPT 82435 | $16.43 | $31.00 | $4.60 – $20.08 | 17 |
| Chloride 24 hour urine CPT 82436 | $24.38 | $46.00 | $5.75 – $22.43 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $49.72 | $93.81 | $0.04 – $0.09 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $358.30 | $676.04 | $46.59 – $184.40 | 11 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $74.49 | $140.55 | $37.49 – $92.96 | 10 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $322.08 – $2,787.76 | 4 |
| Cholangiogram percutaneous compl CPT 47532 | $2,341.01 | $4,417.00 | $2,967.40 – $2,967.40 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $189.21 | $357.00 | $61.93 – $204.00 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $4,572.27 – $4,572.27 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $4,045.74 – $4,045.74 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $4,140.11 – $4,140.11 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,341.01 | $4,417.00 | $1,229.45 – $1,229.45 | 1 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $939.40 – $939.40 | 1 |
| Cholesterol CPT 82465 | $18.02 | $34.00 | $4.35 – $20.08 | 17 |
| Cholesterol body fluid CPT 84999 | $41.87 | $79.00 | $37.86 – $39.50 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $50.88 | $96.00 | $13.39 – $87.35 | 17 |
| Cholinesterase CPT 82480 | $38.69 | $73.00 | $7.87 – $35.40 | 17 |
| Cholinesterase challenge CPT 95857 | not published | not published | $179.01 – $423.33 | 4 |
| Chorion biopsy CPT 59015 | not published | not published | $557.15 – $1,183.71 | 4 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | not published | not published | $221.42 – $221.42 | 1 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $144.00 | 17 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $9.63 – $91.65 | 17 |
| Chromatography CPT 83021 | $58.30 | $110.00 | $18.06 – $81.45 | 17 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $53.13 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $407.57 | $769.00 | $57.04 – $368.58 | 15 |
| Chromosome analys amniotic CPT 88269 | $288.85 | $545.00 | $173.66 – $746.03 | 17 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $776.73 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $433.01 | $817.00 | $125.49 – $559.52 | 17 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $668.13 | 17 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $674.03 | 17 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $793.26 | 17 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $776.73 | 17 |
| Chromosome analys placenta CPT 88267 | $611.09 | $1,153.00 | $188.57 – $807.44 | 17 |
| Chromosome banding study CPT 88283 | $81.62 | $154.00 | $68.60 – $308.09 | 17 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $85.01 | 17 |
| Chromosome karyotype study CPT 88280 | $93.28 | $176.00 | $33.47 – $112.13 | 17 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $154.63 | 17 |
| Chronic urticaria - sendout CPT 86343 | $52.47 | $99.00 | $12.46 – $55.48 | 17 |
| Chylomicron screen, bf - sendout CPT 82664 | $111.30 | $210.00 | $56.85 – $154.63 | 17 |
| Cilastatin sodium injection HCPCS J0743 | $31.92 | $60.24 | $8.85 – $25.30 | 10 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,603.15 – $1,603.15 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $66.07 – $245.18 | 6 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $48.47 – $204.00 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $6.44 | $12.15 | $1.02 – $3.96 | 10 |
| Circum 28 days or older CPT 54161 | not published | not published | $721.27 – $721.27 | 1 |
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.