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 |
|---|---|---|---|---|
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $29.87 – $102.71 | 4 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $2,147.47 – $2,147.47 | 1 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $1,060.29 – $1,060.29 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,775.00 – $18,975.00 | 11 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $15,233.39 – $15,233.39 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $3,592.51 – $3,592.51 | 1 |
| Pulmonary vent imaging CPT 78579 | $1,439.48 | $2,716.00 | $80.87 – $848.52 | 5 |
| Pulse ox continuous overnight monitoring CPT 94762 | $336.02 | $634.00 | $79.80 – $212.70 | 4 |
| Pulse ox multiple CPT 94761 | not published | not published | $15.81 – $15.81 | 1 |
| Pulse ox single CPT 94760 | not published | not published | $10.00 – $10.00 | 1 |
| Punc of shunt for asp or inj CPT 61070 | $782.81 | $1,477.00 | $210.19 – $941.43 | 4 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $77.38 | $146.00 | $115.22 – $175.22 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $665.15 | $1,255.00 | $387.95 – $543.13 | 4 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $302.69 – $302.69 | 1 |
| Puncture spinal lumbar diagnostic CPT 62270 | $646.60 | $1,220.00 | $576.51 – $941.43 | 4 |
| Puraply 1 sq cm HCPCS Q4195 | $94.34 | $178.00 | $81.92 – $169.60 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | $94.34 | $178.00 | $74.76 – $119.86 | 4 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $307.73 – $307.73 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $602.17 – $941.43 | 4 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $544.62 – $941.43 | 4 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $3,771.74 – $3,771.74 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $3,484.23 – $3,484.23 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $3,791.62 – $3,791.62 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $3,346.33 – $3,346.33 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $27.26 | $51.44 | $9.95 – $48.13 | 10 |
| Pyruvate CPT 84210 | $40.81 | $77.00 | $14.48 – $48.40 | 17 |
| Pyruvate kinase CPT 84220 | $87.45 | $165.00 | $9.44 – $42.50 | 17 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $17.44 – $175.22 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,986.44 | $3,748.00 | $142.11 – $1,101.15 | 5 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,584.17 | $2,989.00 | $121.96 – $848.52 | 5 |
| Quest t3 uptake CPT 84479 | $30.21 | $57.00 | $6.47 – $29.50 | 17 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $347.32 – $1,545.98 | 9 |
| Rabies ig ht&sol human im/sc CPT 90377 | $588.43 | $1,110.25 | $241.15 – $1,218.05 | 14 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $289.91 – $1,145.12 | 13 |
| Rabies vaccine id CPT 90676 | not published | not published | $264.47 – $436.38 | 4 |
| Radial keratotomy CPT 65771 | not published | not published | $2,288.65 – $2,288.65 | 1 |
| Radiation handling CPT 77790 | $476.47 | $899.00 | $20.08 – $20.08 | 1 |
| Radiation physics consult CPT 77336 | $569.75 | $1,075.00 | $128.92 – $261.06 | 4 |
| Radiation therapy dose plan CPT 77300 | $530.53 | $1,001.00 | $109.43 – $180.49 | 4 |
| Radiation therapy management CPT 77431 | not published | not published | $343.79 – $343.79 | 1 |
| Radiation treatment aid(s) CPT 77332 | $442.55 | $835.00 | $96.46 – $180.49 | 4 |
| Radiation treatment aid(s) CPT 77333 | $631.76 | $1,192.00 | $31.40 – $180.49 | 4 |
| Radiation treatment aid(s) CPT 77334 | $825.21 | $1,557.00 | $218.14 – $497.64 | 4 |
| Radiation treatment delivery CPT 77401 | not published | not published | $80.97 – $148.86 | 4 |
| Radiation treatment delivery CPT 77402 | $795.00 | $1,500.00 | $106.33 – $477.58 | 4 |
| Radiation treatment delivery CPT 77412 | $1,753.77 | $3,309.00 | $255.36 – $922.63 | 4 |
| Radiation tx management x5 CPT 77427 | not published | not published | $625.76 – $625.76 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $6,619.11 – $6,619.11 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $5,380.34 – $5,380.34 | 1 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $7,040.26 – $7,040.26 | 1 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $6,436.23 – $6,436.23 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $4,278.98 – $4,278.98 | 1 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $4,369.62 – $4,369.62 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,784.16 – $3,784.16 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $5,196.71 – $5,196.71 | 1 |
| Radiology port images(s) CPT 77417 | $328.07 | $619.00 | $36.12 – $36.12 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $2,974.89 | $5,613.00 | $1,403.32 – $1,403.32 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $388.49 | $733.00 | $525.82 – $525.82 | 1 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,685.93 | $3,181.00 | $143.35 – $2,938.37 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,036.79 | $3,843.00 | $177.09 – $2,938.37 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,734.91 | $7,047.00 | $300.22 – $2,938.37 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,828.50 | $3,450.00 | $177.19 – $2,938.37 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | $863.90 | $1,630.00 | $114.09 – $848.52 | 5 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $77.21 – $77.21 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $5,650.61 – $5,650.61 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $4,144.18 – $4,144.18 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $4,788.84 – $4,788.84 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,746.19 – $3,746.19 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,687.39 – $2,687.39 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $4,795.25 – $4,795.25 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,733.12 – $2,733.12 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $3,829.14 – $3,829.14 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $4,888.54 – $4,888.54 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,480.46 – $3,480.46 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $107.67 | $203.15 | $68.37 – $189.57 | 10 |
| Range of motion measurements CPT 95852 | not published | not published | $19.14 – $53.65 | 4 |
| Rapid desensitization CPT 95180 | $389.02 | $734.00 | $387.48 – $542.47 | 4 |
| Rapid Strep Test CPT 87880 | $45.58 | $86.00 | $16.53 – $54.30 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $568.06 | $1,071.82 | $297.70 – $961.92 | 10 |
| Rbc count only automated CPT 85041 | $4.77 | $9.00 | $3.02 – $12.97 | 17 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $181.39 – $594.31 | 4 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $38.95 | 17 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $29.50 | 17 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $36.67 – $542.47 | 11 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $523.36 – $523.36 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $268.36 – $268.36 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $338.74 – $338.74 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $113.53 – $113.53 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $147.59 – $147.59 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $140.42 – $140.42 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $7,996.30 – $7,996.30 | 1 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $5,666.95 – $5,666.95 | 1 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $5,388.92 – $5,388.92 | 1 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $5,783.40 – $5,783.40 | 1 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $5,685.56 – $5,685.56 | 1 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $8,003.20 – $8,003.20 | 1 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $7,630.80 – $7,630.80 | 1 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $7,507.04 – $7,507.04 | 1 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $11,720.48 – $11,720.48 | 1 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $9,195.46 – $9,195.46 | 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.