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 |
|---|---|---|---|---|
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $103.50 – $218.41 | 4 |
| Adding walker to prev cast CPT 29440 | not published | not published | $153.22 – $214.51 | 4 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $13.65 | $25.75 | $0.39 – $1.87 | 10 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $54.30 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $33.92 | $64.00 | $9.63 – $30.24 | 17 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $19.83 – $54.30 | 17 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $3,180.61 – $3,180.61 | 1 |
| Adh-sendout CPT 84588 | $109.71 | $207.00 | $33.94 – $152.28 | 17 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $910.39 – $1,274.55 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,617.51 – $1,617.51 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $3,417.80 – $3,417.80 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $204.58 | $386.00 | $69.11 – $96.75 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $210.94 | $398.00 | $69.11 – $204.00 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $412.34 | $778.00 | $322.08 – $450.91 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $248.57 | $469.00 | $322.08 – $450.91 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $201.40 | $380.00 | $69.11 – $105.94 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $201.40 | $380.00 | $69.11 – $243.07 | 4 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $69.11 – $96.75 | 4 |
| Administration immunization each additional component CPT 90461 | not published | not published | $41.07 – $41.07 | 1 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $41.07 – $41.07 | 1 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $83.06 – $83.06 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $69.11 – $96.75 | 4 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $41.07 – $41.07 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $72.90 – $72.90 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $24.38 | $46.00 | $38.36 – $38.36 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | $24.38 | $46.00 | $38.36 – $38.36 | 1 |
| Administration vaccine pneumococcal HCPCS G0009 | $24.38 | $46.00 | $38.36 – $38.36 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $62.97 – $62.97 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $57.38 | $108.26 | $35.53 – $106.52 | 10 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $120.72 – $2,938.37 | 2 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $4,408.97 – $4,408.97 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $198.29 – $198.29 | 1 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $295.83 – $423.33 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $283.90 – $423.33 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $302.38 – $423.33 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | $36.57 | $69.00 | $20.05 – $89.70 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | $35.51 | $67.00 | $4.77 – $17.18 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $336.02 | $634.00 | $115.36 – $518.22 | 17 |
| After cataract laser surgery CPT 66821 | not published | not published | $532.70 – $1,197.03 | 4 |
| Air conduction bilat CPT 92552 | not published | not published | $101.90 – $175.22 | 4 |
| Air injection into abdomen 49400 CPT 49400 | $292.03 | $551.00 | $495.05 – $495.05 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $276.66 | $522.00 | $42.84 – $212.70 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $22.79 | $43.00 | $7.78 – $23.60 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $110.53 | $208.55 | $65.08 – $140.00 | 12 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $111.02 | $209.47 | $65.28 – $144.84 | 11 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $152.28 | 17 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $34.45 | $65.00 | $5.78 – $25.98 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $18.02 | $34.00 | $4.95 – $22.43 | 17 |
| Albuterol ipratrop non-comp HCPCS J7620 | $0.97 | $1.83 | $0.15 – $0.77 | 11 |
| Albuterol non-comp con HCPCS J7611 | $0.63 | $1.20 | $0.09 – $0.55 | 11 |
| Albuterol non-comp unit HCPCS J7613 | $0.49 | $0.92 | $0.04 – $0.39 | 11 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $73.14 | $138.00 | $17.27 – $59.58 | 14 |
| Alkaline phosphatase CPT 84075 | $21.73 | $41.00 | $5.18 – $23.60 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $29.15 | $55.00 | $17.93 – $73.19 | 14 |
| Allergen egg white ige CPT 86003 | $24.91 | $47.00 | $5.22 – $15.25 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $35.40 | 17 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $33.25 – $62.72 | 4 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $28.59 – $62.72 | 4 |
| Allergy Skin Testing CPT 95004 | not published | not published | $21.69 – $1,383.07 | 4 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $18.16 – $1,383.07 | 4 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $4,586.93 – $4,586.93 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $356.69 | $673.00 | $176.48 – $482.91 | 10 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $4,101.14 | $7,738.00 | $156.83 – $497.70 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $356.69 | $673.00 | $278.01 – $631.10 | 9 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $38.11 – $67.76 | 4 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $23.78 – $33.29 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $7.50 | $14.15 | $4.77 – $13.23 | 10 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $289.21 | 17 |
| Alpha-fetoprotein amniotic CPT 82106 | $61.48 | $116.00 | $17.00 – $75.56 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $66.25 | $125.00 | $16.77 – $75.56 | 17 |
| Alprostadil for injection HCPCS J0270 | $241.46 | $455.59 | $0.78 – $31.96 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $278.89 | $526.20 | $87.37 – $279.01 | 11 |
| Alt/sgpt CPT 84460 | $19.08 | $36.00 | $5.30 – $23.60 | 17 |
| Aluminum - quest CPT 82108 | $83.21 | $157.00 | $25.48 – $114.51 | 17 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,407.74 – $1,407.74 | 1 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $89.13 – $193.70 | 4 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $32.40 – $81.45 | 6 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $16.97 – $175.22 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $4.55 | $8.58 | $0.66 – $2.01 | 10 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $62.55 | 17 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $62.55 | 17 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $67.72 | 17 |
| Aminolevulinic acid delta CPT 82135 | $54.59 | $103.00 | $16.45 – $74.38 | 17 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $29.01 | $54.74 | $2.26 – $15.77 | 10 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $8.65 | $16.32 | $3.10 – $7.69 | 6 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $0.93 | $1.75 | $0.48 – $1.56 | 5 |
| Amitriptyline (elavil) -sendout CPT 80335 | $46.64 | $88.00 | $32.60 – $81.45 | 6 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $30.62 | $57.77 | $21.85 – $56.06 | 10 |
| Ammonia CPT 82140 | $60.95 | $115.00 | $14.57 – $64.93 | 17 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $480.18 | $906.00 | $450.10 – $1,183.71 | 4 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $295.37 – $644.43 | 4 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $30.71 | 17 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $2,327.45 – $2,327.45 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | $56.71 | $107.00 | $30.92 – $81.45 | 6 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $30.92 – $30.92 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $111.94 | $211.20 | $17.81 – $152.71 | 10 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $94.57 | $178.43 | $16.27 – $73.14 | 11 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $15.83 | $29.86 | $0.84 – $2.17 | 10 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $16.93 | $31.95 | $2.02 – $7.20 | 10 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $907.32 | 5 |
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.