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 |
|---|---|---|---|---|
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $225.49 – $404.03 | 4 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $149.91 – $149.91 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $57.68 – $104.45 | 4 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $960.36 | $1,812.00 | $280.09 – $464.64 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $36.21 – $172.62 | 4 |
| Ionm in operatng room 15 min CPT 95940 | $213.59 | $403.00 | $109.11 – $109.11 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $1,086.72 – $1,086.72 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $228.12 | $430.41 | $171.24 – $353.55 | 9 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $308.83 – $308.83 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $449.39 – $449.39 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $541.01 – $541.01 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $201.01 – $201.01 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $24.74 | $46.67 | $2.43 – $7.39 | 10 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $100.81 | $190.21 | $69.07 – $166.97 | 9 |
| Iron CPT 83540 | $25.97 | $49.00 | $6.47 – $29.50 | 17 |
| Iron binding capacity CPT 83550 | $33.92 | $64.00 | $8.74 – $38.95 | 17 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $28.65 | $54.05 | $15.02 – $53.07 | 11 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $29.50 | 17 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.13 | $2.14 | $0.26 – $0.76 | 10 |
| Irradiation of blood product each unit reference CPT 86945 | $49.29 | $93.00 | $21.83 – $93.25 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $136.21 | $257.00 | $57.68 – $81.19 | 4 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $705.83 – $705.83 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $57.68 – $163.56 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $3,702.17 – $3,702.17 | 1 |
| Ivc venogram s&i CPT 75825 | $1,691.23 | $3,191.00 | $190.13 – $6,438.74 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $202.46 | $382.00 | $69.11 – $100.13 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $202.46 | $382.00 | $67.93 – $67.93 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $197.16 | $372.00 | $44.80 – $62.72 | 4 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $321.18 | $606.00 | $204.58 – $286.41 | 4 |
| IV inj ra drug dx study CPT 78808 | $1,319.70 | $2,490.00 | $154.18 – $848.52 | 5 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $387.48 – $542.47 | 4 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $83.90 – $401.74 | 6 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $83.90 – $401.74 | 6 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $124.69 | $235.26 | $93.64 – $225.11 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | $622.22 | $1,174.00 | $185.20 – $638.94 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,859.93 – $1,859.93 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,360.08 – $2,360.08 | 1 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $915.68 – $915.68 | 1 |
| John cunningham antibody CPT 86711 | $27.03 | $51.00 | $16.89 – $64.93 | 17 |
| J-tube placement CPT 44015 | not published | not published | $512.43 – $512.43 | 1 |
| Kafo fem fx cast molded to p HCPCS L2128 | $4,095.31 | $7,727.00 | $2,399.76 – $2,399.76 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $4,161.15 – $4,161.15 | 1 |
| Keratophakia CPT 65765 | not published | not published | $6,033.65 – $6,033.65 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $5,133.00 – $5,133.00 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $31.52 – $81.45 | 6 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $63.76 | 17 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $42.93 | $81.00 | $8.17 – $36.60 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $5.58 | $10.53 | $0.42 – $2.29 | 10 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,314.64 – $1,314.64 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,397.63 – $1,397.63 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,809.61 – $1,809.61 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $2,630.13 – $2,630.13 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,500.84 – $1,500.84 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,081.97 – $2,081.97 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,533.51 – $1,533.51 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,739.11 – $1,739.11 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,078.95 – $2,078.95 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,240.31 – $2,240.31 | 1 |
| Kidney function study CPT 78725 | not published | not published | $62.55 – $848.52 | 5 |
| Kidney imaging morphology CPT 78700 | not published | not published | $75.90 – $848.52 | 5 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $233.50 – $1,101.15 | 5 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,739.46 | $3,282.00 | $159.94 – $1,101.15 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $510.39 | $963.00 | $103.26 – $519.00 | 6 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $318.78 | 17 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,260.86 – $2,260.86 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,869.59 – $1,869.59 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $2,124.79 – $2,124.79 | 1 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,968.84 – $1,968.84 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $2,241.58 – $2,241.58 | 1 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $3,226.79 – $3,226.79 | 1 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,908.57 – $1,908.57 | 1 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,952.17 – $1,952.17 | 1 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,800.81 – $1,800.81 | 1 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,387.65 – $2,387.65 | 1 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $2,407.04 – $2,407.04 | 1 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,043.18 – $2,043.18 | 1 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $2,543.79 – $2,543.79 | 1 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,057.26 – $3,057.26 | 1 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $2,240.98 – $2,240.98 | 1 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $2,312.45 – $2,312.45 | 1 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $2,711.15 – $2,711.15 | 1 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,575.24 – $3,575.24 | 1 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $4,433.93 – $4,433.93 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $1,426.76 | $2,692.00 | $346.78 – $836.00 | 6 |
| Knee MRI (with contrast) CPT 73722 | $1,405.56 | $2,652.00 | $278.55 – $1,609.16 | 6 |
| Knee MRI (without contrast) CPT 73721 | $1,355.21 | $2,557.00 | $232.67 – $836.00 | 6 |
| Knee X-ray CPT 73564 | $156.88 | $296.00 | $38.50 – $245.18 | 6 |
| Kras gene addl variants CPT 81276 | $328.07 | $619.00 | $193.25 – $503.42 | 17 |
| Kras gene variants exon 2 CPT 81275 | $354.57 | $669.00 | $193.25 – $649.26 | 17 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $7,898.24 – $7,898.24 | 1 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $9,767.08 – $9,767.08 | 1 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $108.17 – $108.17 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $94.74 – $94.74 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $10.70 | $20.19 | $0.36 – $0.88 | 6 |
| Labioplasty 56800 CPT 56800 | not published | not published | $870.58 – $870.58 | 1 |
| Lab pathology consultation CPT 80500 | not published | not published | $24.95 – $27.56 | 2 |
| Lab pathology consultation CPT 80502 | not published | not published | $16.15 – $99.15 | 2 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $0.71 | $1.33 | $0.61 – $0.61 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $23.85 | $45.00 | $6.04 – $27.15 | 17 |
| Lactic acid CPT 83605 | $49.29 | $93.00 | $11.57 – $48.40 | 17 |
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.