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 |
|---|---|---|---|---|
| Upgrade pm system CPT 33214 | $9,284.54 | $17,518.00 | $1,764.55 – $34,585.00 | 2 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,441.07 | $2,719.00 | $346.78 – $836.00 | 6 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,391.25 | $2,625.00 | $304.91 – $836.00 | 6 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,337.19 | $2,523.00 | $234.71 – $836.00 | 6 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $910.39 – $1,274.55 | 4 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $910.39 – $1,438.70 | 4 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $918.59 – $918.59 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $910.39 – $1,402.96 | 4 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,340.24 – $2,340.24 | 1 |
| Urea nitrogen CPT 84520 | $19.08 | $36.00 | $3.95 – $17.70 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $21.20 | $40.00 | $5.56 – $21.25 | 17 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $29.50 | 17 |
| Urea nitrogen semi-quant CPT 84525 | $38.69 | $73.00 | $5.13 – $16.53 | 17 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $6,171.73 – $6,171.73 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $94.29 – $848.52 | 5 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,369.43 – $1,369.43 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,552.95 – $1,552.95 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,741.84 – $1,741.84 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,327.28 – $1,327.28 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,568.50 – $1,568.50 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,413.04 – $1,413.04 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,715.05 – $1,715.05 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,303.41 – $1,303.41 | 1 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $4,051.64 – $4,051.64 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $4,114.86 – $4,114.86 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $224.19 | $423.00 | $56.34 – $517.79 | 6 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,743.08 – $2,743.08 | 1 |
| Urethrocystography void s&i CPT 74455 | $207.76 | $392.00 | $56.34 – $517.79 | 6 |
| Uric acid blood CPT 84550 | $21.20 | $40.00 | $4.52 – $20.08 | 17 |
| Uric acid urine CPT 84560 | $23.32 | $44.00 | $5.08 – $21.25 | 17 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $16.53 | 17 |
| Urinalysis microscopic only CPT 81015 | $11.66 | $22.00 | $3.05 – $14.18 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $9.45 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $22.26 | $42.00 | $3.17 – $14.18 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $9.01 | $17.00 | $2.25 – $10.56 | 17 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $26.32 – $26.32 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $57.68 – $204.33 | 4 |
| Urine Culture Test CPT 87086 | $39.22 | $74.00 | $8.07 – $36.60 | 17 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $24.99 – $175.22 | 4 |
| Urine pregnancy test CPT 81025 | $39.75 | $75.00 | $8.61 – $28.32 | 18 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.25 – $70.45 | 17 |
| Urine shunt to intestine CPT 50815 | not published | not published | $4,493.90 – $4,493.90 | 1 |
| Urography, antegrade CPT 74425 | $201.40 | $380.00 | $60.06 – $828.27 | 6 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $82.73 – $401.74 | 6 |
| Use 1st target lesion CPT 76982 | not published | not published | $101.71 – $519.00 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $23.78 | $44.87 | $8.06 – $38.92 | 10 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $198.83 – $484.40 | 7 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $180.88 – $475.18 | 7 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $191.75 – $467.14 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $107.97 – $285.53 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $80.63 – $213.08 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $58.91 – $98.39 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $203.92 – $334.68 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $208.65 – $252.73 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $535.00 – $617.41 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $222.73 – $410.13 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $60.29 – $104.46 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $40.79 | $76.96 | $26.05 – $88.40 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $115.48 | $217.89 | $58.10 – $277.79 | 11 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $219.57 – $431.09 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $69.83 – $129.84 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $48.03 – $116.35 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $84.92 – $235.06 | 7 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $127.14 | $239.89 | $47.28 – $235.06 | 11 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $285.62 | $538.90 | $128.10 – $504.32 | 11 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $47.36 | $89.36 | $2.87 – $95.34 | 11 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $608.82 – $1,050.79 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $269.66 | $508.78 | $173.46 – $547.14 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $133.15 | $251.23 | $31.93 – $250.59 | 11 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $102.69 – $271.56 | 7 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $26.89 – $65.94 | 7 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $48.61 | $91.72 | $27.49 – $67.41 | 7 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $24.51 | $46.25 | $19.43 – $62.98 | 7 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $82.43 – $232.23 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $47.61 – $65.27 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $24.75 – $67.41 | 5 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $11.78 – $31.51 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $30.91 – $83.69 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $80.43 – $220.36 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $45.32 – $119.99 | 7 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $13.44 – $32.97 | 7 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $424.35 – $764.33 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $410.24 – $649.92 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $340.25 – $587.46 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $296.03 | $558.55 | $306.16 – $537.50 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | $160.67 | $303.15 | $166.36 – $315.95 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $442.07 – $950.20 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $163.48 | $308.44 | $57.62 – $399.95 | 11 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $297.28 | $560.91 | $38.37 – $773.48 | 11 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $283.12 – $782.93 | 10 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $469.54 | $885.93 | $123.46 – $893.50 | 11 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $88.32 – $152.81 | 3 |
| Vaccine rabies im CPT 90675 | $695.08 | $1,311.48 | $317.67 – $1,413.92 | 14 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $607.46 – $1,007.72 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,775.47 – $2,202.29 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,101.14 – $1,775.47 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $582.12 – $1,004.30 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $193.91 – $473.94 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $195.41 – $337.57 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $34.76 | $65.58 | $19.81 – $161.89 | 11 |
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.