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 |
|---|---|---|---|---|
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $374.18 | $706.00 | $26.87 – $519.00 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $385.84 | $728.00 | $209.76 – $519.00 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | $303.16 | $572.00 | $208.14 – $519.00 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $249.10 | $470.00 | $85.50 – $519.00 | 6 |
| Ultrasound infant hips ltd without stress CPT 76886 | $367.29 | $693.00 | $85.50 – $519.00 | 6 |
| Ultrasound joint complete left CPT 76881 | $367.29 | $693.00 | $103.26 – $519.00 | 6 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $286.73 | $541.00 | $37.29 – $519.00 | 6 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $198.22 | $374.00 | $45.78 – $240.48 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $183.91 | $347.00 | $145.21 – $519.00 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $183.91 | $347.00 | $74.38 – $519.00 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $404.92 | $764.00 | $234.71 – $519.00 | 6 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $469.58 | $886.00 | $103.26 – $519.00 | 6 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $367.29 | $693.00 | $103.26 – $519.00 | 6 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $371.00 | $700.00 | $103.26 – $519.00 | 6 |
| Ultrasound prostate/transrectal CPT 76872 | $350.86 | $662.00 | $103.26 – $519.00 | 6 |
| Ultrasound retroperitoneal limited CPT 76775 | $469.58 | $886.00 | $96.32 – $519.00 | 6 |
| Ultrasound scrotum and contents CPT 76870 | $385.84 | $728.00 | $103.26 – $519.00 | 6 |
| Ultrasound spinal canal and contents CPT 76800 | $367.29 | $693.00 | $103.26 – $519.00 | 6 |
| Ultrasound transabd ea addl gest CPT 76812 | $202.46 | $382.00 | $313.16 – $519.00 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $469.58 | $886.00 | $103.26 – $519.00 | 6 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $172.86 – $519.00 | 6 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $145.14 – $519.00 | 2 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.65 – $24.38 | 4 |
| Umbilical artery cath newborn 36660 CPT 36660 | $350.33 | $661.00 | $240.10 – $240.10 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $295.37 – $1,743.22 | 4 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,759.70 – $1,759.70 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $1.16 – $62.72 | 4 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted CT procedure CPT 76497 | not published | not published | $69.83 – $182.03 | 5 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $151.93 – $212.70 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $195.34 – $273.48 | 3 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $73.38 – $182.03 | 5 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | not published | 0 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $195.34 – $273.48 | 3 |
| Unlisted maaa CPT 81599 | not published | not published | not published | 0 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted misc path test CPT 89240 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted mr procedure CPT 76498 | $1,028.20 | $1,940.00 | $61.44 – $182.03 | 5 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $151.93 – $212.70 | 3 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.78 – $33.29 | 3 |
| Unlisted procedure colon CPT 45399 | not published | not published | $885.29 – $1,239.41 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $910.39 – $1,274.55 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $290.27 – $406.38 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $683.20 – $956.48 | 3 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | not published | 0 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $290.27 – $406.38 | 3 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $683.20 – $956.48 | 3 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $885.29 – $1,239.41 | 3 |
| Unlisted procedure spine CPT 22899 | not published | not published | $232.93 – $326.10 | 3 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $3,445.18 – $3,445.18 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $28.93 – $40.50 | 3 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $232.93 – $326.10 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $232.93 – $326.10 | 3 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $910.39 – $1,274.55 | 3 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $153.22 – $214.51 | 3 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $290.27 – $406.38 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $683.20 – $956.48 | 3 |
| Unlisted px external ear CPT 69399 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $290.27 – $406.38 | 3 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $232.93 – $326.10 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $232.93 – $326.10 | 3 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $232.93 – $326.10 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $290.27 – $406.38 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $232.93 – $326.10 | 3 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $236.16 – $330.62 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $128.92 – $180.49 | 3 |
| Unlisted px middle ear CPT 69799 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $232.93 – $27,040.00 | 4 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px small intestine CPT 44799 | not published | not published | $910.39 – $1,274.55 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $128.92 – $180.49 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $225.49 – $315.69 | 3 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $390.18 – $848.52 | 4 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $192.94 – $270.12 | 3 |
| Unlisted surgical path px CPT 88399 | not published | not published | $16.15 – $72.63 | 6 |
| Unlisted transfusion med px CPT 86999 | $225.78 | $426.00 | $21.46 – $33.29 | 6 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $85.50 – $182.03 | 4 |
| Unlisted urinalysis px CPT 81099 | not published | not published | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $600.34 – $840.48 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $390.18 – $848.52 | 4 |
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.