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 |
|---|---|---|---|---|
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $688.67 – $688.67 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $745.33 – $745.33 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $455.02 – $455.02 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $1,384.09 – $1,384.09 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $990.43 – $990.43 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $1,607.85 – $1,607.85 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $1,380.32 – $1,380.32 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $1,655.37 – $1,655.37 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $1,185.62 – $1,185.62 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,260.37 – $1,260.37 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $852.12 – $852.12 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $847.83 – $847.83 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $685.28 – $685.28 | 1 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $591.32 – $591.32 | 1 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $686.51 – $686.51 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $646.33 – $646.33 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $783.34 – $783.34 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $594.39 – $1,459.92 | 4 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,259.81 – $1,259.81 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $273.97 – $273.97 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $151.93 – $212.70 | 3 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $796.24 – $796.24 | 1 |
| Pressure velocity wire add ves CPT 93572 | $672.57 | $1,269.00 | $252.42 – $252.42 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $90.63 | $171.00 | $48.78 – $232.95 | 11 |
| Pretreat rbc absorption reference CPT 86978 | $47.70 | $90.00 | $36.67 – $112.13 | 11 |
| Pretreat rbc density gradient separation reference CPT 86972 | $258.64 | $488.00 | $21.83 – $232.95 | 11 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $54.06 | $102.00 | $21.83 – $93.25 | 11 |
| Pretreat rbc w enzyme reference CPT 86971 | $167.48 | $316.00 | $21.83 – $342.78 | 11 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $156.01 – $486.98 | 4 |
| Preventive counseling group CPT 99411 | not published | not published | $43.40 – $43.40 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $56.96 – $56.96 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $96.61 – $96.61 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $165.17 – $165.17 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $231.78 – $231.78 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $163.24 | $308.00 | $298.41 – $298.41 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $442.04 – $442.04 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $779.87 – $779.87 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $842.17 | $1,589.00 | $387.95 – $654.13 | 4 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,895.14 – $4,895.14 | 1 |
| Prgrmg dev eval impltbl sys CPT 93260 | $397.50 | $750.00 | $36.21 – $71.64 | 4 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $36.21 – $56.54 | 4 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $36.21 – $51.88 | 4 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $36.21 – $65.82 | 4 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $36.21 – $77.49 | 4 |
| Prgrmg eval implantable dfb CPT 93284 | $136.74 | $258.00 | $36.21 – $87.92 | 4 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,116.93 | $5,881.00 | $174.18 – $20,925.00 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $540.36 – $540.36 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $365.38 – $365.38 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $269.34 – $269.34 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $278.19 – $278.19 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $193.01 – $193.01 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $105.13 – $105.13 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $8,268.00 | $15,600.00 | $8,206.11 – $8,206.11 | 1 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,134.00 | $7,800.00 | $2,606.79 – $2,606.79 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | $181.79 | $343.00 | $89.82 – $172.92 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $704.90 | $1,330.00 | $387.95 – $745.74 | 4 |
| Pr incision & drainage abscess simple/single CPT 10060 | $354.04 | $668.00 | $192.94 – $424.29 | 4 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $295.37 – $413.52 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $849.06 | $1,602.00 | $387.95 – $548.83 | 4 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $125.14 – $614.66 | 4 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $125.14 – $435.61 | 4 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $761.08 | $1,436.00 | $169.12 – $169.12 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,153.66 – $2,153.66 | 1 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $290.27 – $706.76 | 4 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $606.09 – $606.09 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,439.07 – $1,439.07 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,334.72 – $2,334.72 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $998.52 | $1,884.00 | $109.76 – $791.28 | 10 |
| Procalcitonin CPT 84145 | $127.20 | $240.00 | $27.22 – $120.41 | 17 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.66 | $1.24 | $0.56 – $1.07 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $6,836.27 – $6,836.27 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $6,709.71 – $6,709.71 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $874.57 – $874.57 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $880.58 – $880.58 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $3,482.44 – $3,482.44 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $444.73 – $1,239.41 | 4 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $775.39 – $775.39 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $812.73 – $812.73 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $823.66 – $823.66 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $389.23 – $389.23 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $704.41 – $704.41 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $838.88 – $838.88 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $439.92 – $439.92 | 1 |
| Progesterone CPT 84144 | $60.95 | $115.00 | $20.86 – $87.46 | 17 |
| Prolactin CPT 84146 | $74.73 | $141.00 | $19.38 – $87.35 | 17 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $23.04 – $23.04 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $1.48 – $1.48 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $101.19 – $101.19 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $291.56 – $291.56 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $140.89 – $140.89 | 1 |
| Promethazine hcl injection HCPCS J2550 | $2.78 | $5.25 | $0.71 – $5.20 | 6 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $290.27 – $1,908.83 | 4 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $532.70 – $1,920.80 | 4 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $3,139.17 – $3,139.17 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,597.35 – $2,597.35 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,274.98 – $3,274.98 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,678.18 – $2,678.18 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.67 | $1.26 | $0.10 – $0.30 | 10 |
| _propoxygc/msur CPT 80367 | $73.14 | $138.00 | $32.60 – $81.45 | 6 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $26.77 | $50.51 | $30.32 – $30.32 | 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.