Ascension St. Francis Hospital, Inc.
3237 S. 16th St, Milwaukee, WI · Ascension · · NPI 1225087190
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 |
|---|---|---|---|---|
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $5,778.59 – $5,778.59 | 1 |
| Decompress small bowel CPT 44021 | not published | not published | $3,516.46 – $3,516.46 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $5,285.60 – $5,285.60 | 1 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $6,304.45 – $6,304.45 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,123.33 – $1,123.33 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,035.04 – $1,035.04 | 1 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $51.38 | $96.95 | $9.96 – $40.72 | 10 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $11.20 | $21.13 | $4.42 – $13.05 | 11 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $3,381.43 – $3,381.43 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,293.30 – $1,293.30 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,665.71 – $1,665.71 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,600.69 – $1,600.69 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,176.22 – $1,176.22 | 1 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $328.61 – $328.61 | 1 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $3,371.47 – $3,371.47 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $4,634.08 – $4,634.08 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $3,263.74 | $6,158.00 | $2,484.34 – $2,484.34 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $111.30 | $210.00 | $56.54 – $276.50 | 4 |
| Denervation of hip joint CPT 27035 | not published | not published | $4,171.59 – $4,171.59 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $39.78 | $75.05 | $16.91 – $71.92 | 10 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $125.16 – $1,010.35 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,328.90 – $2,328.90 | 1 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $683.20 – $2,017.78 | 4 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $387.95 – $1,668.69 | 4 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,040.85 – $3,040.85 | 1 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $2,459.23 – $2,459.23 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,064.75 – $3,064.75 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,426.66 – $2,426.66 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $4,539.98 | $8,566.00 | $6,561.70 – $6,561.70 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $1,012.02 – $1,012.02 | 1 |
| Design mlc device for imrt CPT 77338 | $757.90 | $1,430.00 | $355.46 – $754.17 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $26.36 | $49.74 | $6.09 – $20.89 | 11 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $139.28 | 17 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $1,489.80 – $1,489.80 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $31,412.57 | $59,269.00 | $5,633.94 – $5,633.94 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $4,087.60 – $4,087.60 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $192.94 – $507.21 | 4 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $192.94 – $640.37 | 4 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $192.94 – $736.68 | 4 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $192.94 – $541.52 | 4 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $192.94 – $587.44 | 4 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $192.94 – $670.77 | 4 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $192.94 – $341.82 | 4 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $192.94 – $517.43 | 4 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $192.94 – $630.33 | 4 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $192.94 – $688.74 | 4 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,696.00 | $3,200.00 | $1,556.34 – $1,556.34 | 1 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $848.00 | $1,600.00 | $699.04 – $699.04 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $746.11 – $746.11 | 1 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $192.94 – $270.12 | 4 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $816.27 – $816.27 | 1 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $472.59 – $472.59 | 1 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $192.94 – $473.82 | 4 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $594.39 – $1,569.10 | 4 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $387.95 – $1,234.41 | 4 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,308.27 – $2,308.27 | 1 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $20.14 – $20.14 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $928.02 – $928.02 | 1 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,932.89 – $1,932.89 | 1 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $387.95 – $880.09 | 4 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $192.94 – $400.27 | 4 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $845.67 – $1,210.29 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $920.61 | $1,737.00 | $635.33 – $635.33 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,841.22 | $3,474.00 | $1,538.63 – $1,538.63 | 1 |
| Destruction ciliary body CPT 66700 | not published | not published | $1,638.89 – $1,638.89 | 1 |
| Destruction ciliary body CPT 66720 | not published | not published | $1,724.30 – $1,724.30 | 1 |
| Destruction ciliary body CPT 66740 | not published | not published | $1,594.20 – $1,594.20 | 1 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $192.94 – $835.18 | 4 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,637.95 – $1,637.95 | 1 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $569.46 – $569.46 | 1 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $387.95 – $748.72 | 4 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $387.95 – $884.38 | 4 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $387.95 – $739.66 | 4 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $387.95 – $837.76 | 4 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $387.95 – $543.13 | 4 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $794.08 – $794.08 | 1 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $387.95 – $543.13 | 4 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,526.89 – $2,526.89 | 1 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $701.72 – $701.72 | 1 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $409.93 – $409.93 | 1 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $430.55 – $430.55 | 1 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $89.70 | 17 |
| Detect agnt mult dna direc CPT 87800 | $102.82 | $194.00 | $43.67 – $180.61 | 17 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $28.59 – $28.59 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $151.93 – $452.95 | 4 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $201.96 – $201.96 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $134.62 | $254.00 | $37.33 – $204.00 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.66 | $1.24 | $0.08 – $0.52 | 11 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $1.43 | $2.69 | $0.13 – $0.34 | 11 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $390.89 | $737.52 | $99.48 – $417.65 | 11 |
| Dextran 40 infusion HCPCS J7100 | $65.30 | $123.20 | $121.45 – $121.45 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $72.61 | $137.00 | $22.23 – $100.33 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $38.16 | $72.00 | $9.71 – $43.68 | 17 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $655.77 – $655.77 | 1 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,178.05 – $1,178.05 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $387.48 – $542.47 | 4 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $696.58 – $696.58 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $125.16 – $320.26 | 4 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $164.00 – $263.00 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $139.04 – $205.70 | 3 |
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.