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 |
|---|---|---|---|---|
| Consultation/report referred material w/preparation of slides CPT 88323 | $205.64 | $388.00 | $35.57 – $167.15 | 11 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $187.62 | $354.00 | $24.95 – $346.38 | 11 |
| Consultation with family CPT 90887 | not published | not published | $293.52 – $293.52 | 1 |
| Consult comp w/report rfrd material CPT 88325 | $177.55 | $335.00 | $63.73 – $584.19 | 11 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $332.08 – $542.47 | 4 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $125.16 – $380.77 | 4 |
| Contact lens fitting for tx CPT 92071 | not published | not published | $125.70 – $125.70 | 1 |
| Contact lens fitting ou CPT 92310 | not published | not published | $318.38 – $318.38 | 1 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $145.38 – $145.38 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $2,718.31 – $2,718.31 | 1 |
| Contour of face bone lesion CPT 21029 | not published | not published | $2,819.40 – $2,819.40 | 1 |
| Contrast baths charges CPT 97034 | not published | not published | $13.09 – $60.01 | 4 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,690.70 | $3,190.00 | $187.78 – $6,438.74 | 3 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $81.77 – $6,438.74 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,913.94 | $5,498.00 | $189.23 – $10,733.33 | 3 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $55.13 – $401.74 | 6 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $98.36 – $828.27 | 6 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $54.58 – $828.27 | 5 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $204.00 – $1,609.16 | 6 |
| Contrast x-ray of elbow CPT 73085 | $218.89 | $413.00 | $97.88 – $828.27 | 6 |
| Contrast x-ray of hip CPT 73525 | $237.97 | $449.00 | $97.88 – $828.27 | 6 |
| Contrast x-ray of knee joint CPT 73580 | $283.55 | $535.00 | $96.70 – $828.27 | 6 |
| Contrast x-ray of wrist CPT 73115 | $207.76 | $392.00 | $96.70 – $828.27 | 6 |
| Control nosebleed pack+caut 30905 CPT 30905 | not published | not published | $125.16 – $984.57 | 4 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $1,687.15 – $1,687.15 | 1 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,889.77 – $1,889.77 | 1 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $225.49 – $1,500.84 | 4 |
| Control of nosebleed ant comp 30903 CPT 30903 | not published | not published | $125.16 – $803.14 | 4 |
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $125.16 – $345.44 | 4 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $494.49 – $692.29 | 4 |
| Control throat bleeding CPT 42961 | not published | not published | $1,566.90 – $1,566.90 | 1 |
| Control throat bleeding CPT 42962 | not published | not published | $1,919.53 – $1,919.53 | 1 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $204.00 – $204.00 | 1 |
| Conversion ext bil drg cath CPT 47535 | $2,341.01 | $4,417.00 | $3,996.66 – $3,996.66 | 1 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $3,262.30 – $3,262.30 | 1 |
| Conv gtube to jtube CPT 44373 | not published | not published | $735.22 – $735.22 | 1 |
| Coombs direct CPT 86880 | $31.80 | $60.00 | $5.66 – $80.75 | 14 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $6.01 – $232.95 | 14 |
| Coombs indirect titer reference CPT 86886 | $92.22 | $174.00 | $5.44 – $232.95 | 14 |
| Copper cu 64 dotatate diag HCPCS A9592 | $2,417.86 | $4,562.00 | $2,994.34 – $2,994.34 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,102.50 – $3,427.99 | 12 |
| Core ndl bx lng/med perq CPT 32408 | $3,707.88 | $6,996.00 | $3,399.45 – $3,399.45 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $3,323.21 – $3,323.21 | 1 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $2,645.17 – $2,645.17 | 1 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $2,669.49 – $2,669.49 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $21.62 – $80.75 | 4 |
| Corneal smear CPT 65430 | not published | not published | $387.48 – $542.47 | 4 |
| Corneal transplant CPT 65710 | not published | not published | $4,043.77 – $4,043.77 | 1 |
| Corneal transplant CPT 65730 | not published | not published | $4,483.12 – $4,483.12 | 1 |
| Corneal transplant CPT 65750 | not published | not published | $4,508.60 – $4,508.60 | 1 |
| Corneal transplant CPT 65755 | not published | not published | $4,484.21 – $4,484.21 | 1 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $4,333.40 – $4,333.40 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $10,695.40 | $20,180.00 | $1,157.63 – $1,157.63 | 1 |
| Coronary angio/lv gram/lt heart CPT 93458 | $11,072.23 | $20,891.00 | $1,026.87 – $1,026.87 | 1 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,534.28 | $19,876.00 | $1,288.43 – $1,288.43 | 1 |
| Coronary artery correction CPT 33502 | not published | not published | $4,610.91 – $4,610.91 | 1 |
| Coronary artery graft CPT 33503 | not published | not published | $4,832.48 – $4,832.48 | 1 |
| Coronary artery graft CPT 33504 | not published | not published | $5,374.86 – $5,374.86 | 1 |
| Coronary art/grft angio s&i CPT 93455 | $6,019.74 | $11,358.00 | $971.48 – $971.48 | 1 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $6,449.57 | $12,169.00 | $840.68 – $840.68 | 1 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $810.90 | $1,530.00 | $197.44 – $450.91 | 4 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $73.43 – $212.49 | 8 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,919.58 – $2,919.58 | 1 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $1,680.14 – $1,680.14 | 1 |
| Correct finger deformity CPT 26567 | not published | not published | $2,455.01 – $2,455.01 | 1 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $2,511.89 – $2,511.89 | 1 |
| Correction claw finger other CPT 26499 | not published | not published | $2,972.66 – $2,972.66 | 1 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $3,199.18 – $3,199.18 | 1 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $3,472.22 – $3,472.22 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $940.47 – $1,642.43 | 4 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,012.89 – $2,012.89 | 1 |
| Correction of bladder defect CPT 51940 | not published | not published | $6,030.70 – $6,030.70 | 1 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $290.27 – $858.16 | 4 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $125.16 – $182.14 | 4 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $940.47 – $1,316.66 | 4 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $5,379.14 – $5,379.14 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $2,440.24 – $2,440.24 | 1 |
| Correct rectal prolapse CPT 45541 | not published | not published | $3,419.44 – $3,419.44 | 1 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $3,855.22 – $3,855.22 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $594.39 – $832.15 | 4 |
| Correct skin color ea 20.0cm CPT 11922 | not published | not published | $223.39 – $223.39 | 1 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $2,706.12 – $2,706.12 | 1 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $2,705.70 – $2,705.70 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | $81.62 | $154.00 | $32.62 – $254.99 | 17 |
| Cortisol total am CPT 82533 | $63.07 | $119.00 | $16.30 – $73.17 | 17 |
| Costotransversectomy CPT 21610 | not published | not published | $4,213.48 – $4,213.48 | 1 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $195.45 | $368.77 | $28.08 – $107.94 | 10 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $22.85 – $76.94 | 4 |
| Counseling smoke cess interm >10mins CPT 99407 | $41.34 | $78.00 | $28.93 – $73.82 | 4 |
| Cover eye w/membrane CPT 65778 | not published | not published | $940.47 – $5,182.65 | 4 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $4,356.38 – $4,356.38 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $40.32 – $129.98 | 4 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $873.97 | $1,649.00 | $698.34 – $698.34 | 1 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $873.97 | $1,649.00 | $698.34 – $698.34 | 1 |
| #covid19rsv-rsv CPT 87634 | $198.75 | $375.00 | $70.20 – $284.49 | 14 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $39.22 | $74.00 | $9.63 – $30.62 | 17 |
| C-peptide CPT 84681 | $54.59 | $103.00 | $8.64 – $48.90 | 17 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $533.99 – $533.99 | 1 |
| Cptrized corneal topography CPT 92025 | not published | not published | $57.68 – $80.75 | 4 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $53.04 – $80.75 | 4 |
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.