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 |
|---|---|---|---|---|
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,140.26 – $1,140.26 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $798.00 – $1,274.55 | 4 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $3,622.76 – $3,622.76 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,015.49 – $1,015.49 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $922.32 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $33.92 | $64.00 | $5.39 – $23.60 | 17 |
| Smear gram stain CPT 87205 | $24.91 | $47.00 | $4.27 – $18.87 | 17 |
| Smear nasal eosinophil CPT 89190 | $25.44 | $48.00 | $5.79 – $21.25 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $35.51 | $67.00 | $5.99 – $27.15 | 17 |
| Smear wet mount CPT 87210 | $25.97 | $49.00 | $5.82 – $18.87 | 17 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $985.67 | 14 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $605.58 | 14 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $154.64 | 14 |
| Snrpn/ube3a gene CPT 81331 | $282.49 | $533.00 | $51.07 – $255.47 | 15 |
| So cap design without jnts cf HCPCS L3671 | $2,094.56 | $3,952.00 | $1,227.36 – $1,227.36 | 1 |
| Sodium 24 hour urine CPT 84300 | $22.79 | $43.00 | $5.06 – $22.43 | 17 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $2.87 | $5.41 | $2.27 – $4.13 | 6 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $11.78 | $22.22 | $2.40 – $8.25 | 10 |
| Sodium serum/plasma/whole blood CPT 84295 | $15.90 | $30.00 | $4.81 – $21.25 | 17 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,681.64 – $4,641.32 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,494.79 – $4,125.61 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $4,110.64 – $11,345.36 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,307.94 – $3,609.91 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $92.28 – $423.33 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $3,736.94 – $10,313.95 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $3,094.20 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $595.87 – $595.87 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $651.93 – $651.93 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $439.92 – $439.92 | 1 |
| Special physics consult CPT 77370 | $805.60 | $1,520.00 | $128.92 – $399.13 | 4 |
| Special pump services CPT 99190 | not published | not published | $1,463.97 – $1,463.97 | 1 |
| Special pump services CPT 99191 | not published | not published | $1,024.11 – $1,024.11 | 1 |
| Special pump services CPT 99192 | not published | not published | $731.37 – $731.37 | 1 |
| Special radiation dosimetry CPT 77331 | $552.26 | $1,042.00 | $62.07 – $180.49 | 4 |
| Special radiation treatment CPT 77470 | $1,138.44 | $2,148.00 | $159.56 – $786.39 | 4 |
| Special supplies phys/qhp CPT 99070 | not published | not published | $16.04 – $16.04 | 1 |
| Special teletx port plan CPT 77321 | $884.04 | $1,668.00 | $144.73 – $497.64 | 4 |
| Specific gravity body fluid CPT 84315 | $29.15 | $55.00 | $3.28 – $11.80 | 17 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $18.87 | 17 |
| Speech audiometry complete CPT 92556 | not published | not published | $57.68 – $121.69 | 4 |
| Speech evaluation complex CPT 70371 | not published | not published | $146.28 – $517.79 | 6 |
| Speech recep thresh CPT 92555 | not published | not published | $57.68 – $80.75 | 4 |
| Sperm antibody test CPT 89325 | $45.05 | $85.00 | $10.67 – $48.40 | 17 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $59.93 | 17 |
| Sperm identification CPT 89257 | not published | not published | $51.88 – $72.63 | 6 |
| Sperm isolation complex CPT 89261 | not published | not published | $51.88 – $72.63 | 6 |
| Sperm isolation simple CPT 89260 | not published | not published | $51.88 – $72.63 | 6 |
| Sperm washing 58323 CPT 58323 | not published | not published | $55.20 – $273.48 | 4 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,351.58 – $2,351.58 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,759.64 – $2,759.64 | 1 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $400.34 – $400.34 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $449.88 – $449.88 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,724.09 | $3,253.00 | $672.45 – $942.35 | 4 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $302.38 – $527.10 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $457.92 | $864.00 | $44.06 – $423.33 | 4 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $151.93 – $343.33 | 4 |
| Spleen imaging CPT 78185 | not published | not published | $68.55 – $848.52 | 5 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $4,160.22 – $4,160.22 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $8,363.52 – $8,363.52 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $4,222.25 – $4,222.25 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,178.19 | $2,223.00 | $690.30 – $690.30 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,089.71 – $3,089.71 | 1 |
| Split blood or products CPT 86985 | $92.22 | $174.00 | $21.83 – $232.95 | 11 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $753.68 – $753.68 | 1 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $52.16 – $52.16 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $322.08 – $450.91 | 4 |
| Sputum specimen collection CPT 89220 | not published | not published | $22.06 – $232.95 | 11 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $4,919.72 – $4,919.72 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $3,614.85 – $3,614.85 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $1,077.22 – $1,077.22 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $783.30 – $783.30 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $412.19 | 13 |
| Srs linear based CPT 77372 | $18,998.91 | $35,847.00 | $3,563.13 – $3,563.13 | 1 |
| Srs multisource CPT 77371 | not published | not published | $4,076.35 – $4,076.35 | 1 |
| Srs spinal lesion CPT 63620 | not published | not published | $3,979.61 – $3,979.61 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $900.57 – $900.57 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $117.03 – $212.70 | 4 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $103.81 – $298.08 | 4 |
| Staph a dna amp probe CPT 87640 | $152.11 | $287.00 | $35.09 – $157.01 | 17 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $96.70 – $391.07 | 4 |
| Stem cells total count CPT 86367 | not published | not published | $62.43 – $182.78 | 17 |
| Stenger test pure tone CPT 92565 | not published | not published | $51.88 – $80.75 | 4 |
| Stenger test speech CPT 92577 | not published | not published | $54.20 – $721.31 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $53,890.11 – $53,890.11 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $9,087.91 | $17,147.00 | $16,848.89 – $16,848.89 | 1 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $9,375.99 – $9,375.99 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $3,979.95 – $3,979.95 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $30,046.87 – $30,046.87 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $4,999.32 – $4,999.32 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,407.91 – $1,407.91 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $1,944.49 – $1,944.49 | 1 |
| St evaluate speech sound production CPT 92522 | not published | not published | $105.47 – $308.55 | 4 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | not published | not published | $217.22 – $646.61 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $85.98 – $289.27 | 4 |
| St evaluation swallow function CPT 92610 | not published | not published | $80.86 – $284.65 | 4 |
| Stimulants synthetic CPT 80371 | not published | not published | $32.60 – $81.45 | 6 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,619.53 – $1,619.53 | 1 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $82.47 – $232.95 | 6 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $82.47 – $342.78 | 6 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $82.47 – $232.95 | 6 |
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.