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 |
|---|---|---|---|---|
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $7,290.51 – $7,290.51 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $4,515.46 – $4,515.46 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | $885.10 | $1,670.00 | $788.90 – $788.90 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | $638.65 | $1,205.00 | $563.94 – $563.94 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,211.91 | $7,947.00 | $131.32 – $2,136.59 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,567.96 | $6,732.00 | $3,065.58 – $9,573.37 | 12 |
| Target gsa panel organ neop CPT 81445 | $2,655.83 | $5,011.00 | $131.32 – $1,970.16 | 17 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,552.89 – $2,552.89 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $594.39 – $832.15 | 4 |
| Tavr perq femoral CPT 33361 | not published | not published | $4,905.77 – $4,905.77 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.58 | $2.99 | $0.47 – $1.22 | 11 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $448.57 | 14 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $141.31 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $36.05 | 2 |
| Tbs techl calculation only CPT 77091 | $112.36 | $212.00 | $85.50 – $185.87 | 5 |
| Tbs techl prep&transmis data CPT 77090 | $112.36 | $212.00 | $7.80 – $185.87 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $200.87 | $379.00 | $100.00 – $336.41 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $200.87 | $379.00 | $61.98 – $278.59 | 17 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,608.66 | $4,922.00 | $2,550.81 – $2,550.81 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | $3,200.67 | $6,039.00 | $2,380.20 – $5,332.16 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | $312.70 | $590.00 | $155.82 – $290.57 | 2 |
| Tc-99m maa HCPCS A9540 | $368.35 | $695.00 | $48.32 – $93.33 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $207.76 | $392.00 | $84.32 – $172.08 | 2 |
| Tc-99m medronate HCPCS A9503 | $131.44 | $248.00 | $30.57 – $40.44 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $1,049.93 | $1,981.00 | $1,200.70 – $1,200.70 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $316.94 | $598.00 | $44.87 – $97.48 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $160.59 | $303.00 | $31.07 – $52.83 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $117.13 | $221.00 | $5.28 – $7.39 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $134.62 | $254.00 | $72.00 – $199.26 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $381.07 | $719.00 | $168.15 – $286.00 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $548.02 | $1,034.00 | $415.19 – $831.77 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $438.31 | $827.00 | $203.64 – $265.29 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $594.39 – $1,987.83 | 4 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $103.26 – $200.29 | 4 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $103.26 – $203.52 | 4 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $302.28 – $594.31 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $152.64 | $288.00 | $46.98 – $211.31 | 17 |
| T cells absolute cd 4 count CPT 86361 | $86.92 | $164.00 | $26.78 – $120.41 | 17 |
| T cells total count CPT 86359 | $121.90 | $230.00 | $37.73 – $168.81 | 17 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $302.38 – $505.55 | 4 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $302.38 – $784.18 | 4 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $302.38 – $715.46 | 4 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,626.32 – $1,626.32 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $3,793.04 – $3,793.04 | 1 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $99.16 – $99.16 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $151.25 – $151.25 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $115.16 – $115.16 | 1 |
| Telavancin injection HCPCS J3095 | $9.17 | $17.30 | $6.08 – $14.07 | 9 |
| Telethx isodose plan cplx CPT 77307 | $893.05 | $1,685.00 | $355.46 – $497.64 | 4 |
| Telethx isodose plan simple CPT 77306 | $717.62 | $1,354.00 | $245.71 – $497.64 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $4.83 – $212.70 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $116.59 | $219.98 | $36.31 – $90.63 | 11 |
| Tendon lengthening CPT 26476 | not published | not published | $2,109.35 – $2,109.35 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,102.86 – $2,102.86 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $2,098.35 – $2,098.35 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,175.27 – $3,175.27 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $286.63 | $540.81 | $123.96 – $495.41 | 11 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,212.93 – $2,212.93 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,081.75 – $2,081.75 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,212.56 – $2,212.56 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,830.32 – $2,830.32 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,862.13 – $1,862.13 | 1 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $2,614.36 – $2,614.36 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,622.14 – $1,622.14 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,419.34 – $1,419.34 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $24.81 | $46.81 | $1.24 – $6.53 | 10 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $605.58 | 14 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $27.15 | 17 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $18.87 | 17 |
| Test for urine cystines CPT 82615 | $15.37 | $29.00 | $9.55 – $36.60 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $121.27 – $848.52 | 5 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $204.21 | 17 |
| Test stress cardiovascular tracing only CPT 93017 | $1,038.80 | $1,960.00 | $127.50 – $423.33 | 4 |
| Test urine for lactose CPT 83633 | not published | not published | $9.10 – $26.44 | 17 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $38.95 | 17 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $14.18 | 17 |
| Tetanus ig im CPT 90389 | not published | not published | $359.48 – $2,217.56 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | $761.71 | $1,437.18 | $470.14 – $1,060.58 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $448.57 | 14 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $2,508.15 | 6 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $3,065.58 – $9,639.09 | 3 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,974.09 | 6 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $82.47 – $232.95 | 6 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $82.47 – $232.95 | 6 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $82.47 – $232.95 | 6 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $51.88 – $82.47 | 6 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $107.69 – $594.31 | 4 |
| Theophylline therapeutic drug level CPT 80198 | $57.77 | $109.00 | $14.14 – $63.76 | 17 |
| Therapeutic procd strg endur HCPCS G0237 | $136.21 | $257.00 | $14.82 – $14.82 | 1 |
| Therapy activation ipnss CPT 93150 | not published | not published | $89.13 – $318.44 | 4 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $66.25 | $125.00 | $34.59 – $115.97 | 4 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $66.25 | $125.00 | $30.14 – $100.40 | 4 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $192.94 – $443.46 | 4 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $449.80 – $449.80 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $172.86 – $401.74 | 6 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $63.27 – $286.41 | 4 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $558.87 – $558.87 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $382.26 – $382.26 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $256.02 – $256.02 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.26 | $21.25 | $2.17 – $7.35 | 10 |
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.