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 |
|---|---|---|---|---|
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $188.51 – $303.25 | 4 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $188.51 – $416.16 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $381.60 | $720.00 | $44.99 – $263.00 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $271.89 | $513.00 | $36.64 – $205.70 | 7 |
| Diagnostic radio unlisted proc CPT 76499 | $123.49 | $233.00 | $85.50 – $182.03 | 4 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,560.65 | $8,605.00 | $7,050.97 – $7,050.97 | 1 |
| Dialysis one evaluation CPT 90945 | $706.49 | $1,333.00 | $285.80 – $578.87 | 4 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.69 – $20.81 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $26.35 | $49.71 | $3.88 – $26.08 | 10 |
| Dicyclomine injection HCPCS J0500 | $117.76 | $222.18 | $18.33 – $93.32 | 10 |
| Diffusing capacity CPT 94729 | $214.12 | $404.00 | $30.80 – $30.80 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $353.46 – $353.46 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $10.67 | $20.13 | $6.04 – $14.55 | 6 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $6,878.14 | $12,977.62 | $3,700.95 – $9,082.02 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $56.18 | $106.00 | $13.28 – $59.03 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $240.87 | $454.47 | $50.48 – $190.88 | 10 |
| Dilate biliary duct/ampulla CPT 47542 | $1,276.77 | $2,409.00 | $1,854.07 – $1,854.07 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $3,502.51 – $3,502.51 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $767.22 – $1,274.55 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,340.37 | $2,529.00 | $1,670.52 – $1,670.52 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $696.95 | $1,315.00 | $835.15 – $835.15 | 1 |
| Dilate ic vasospasm init CPT 61640 | $1,394.43 | $2,631.00 | $2,376.87 – $2,376.87 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $364.79 – $542.47 | 4 |
| Dilate urethra stricture CPT 53600 | not published | not published | $236.16 – $330.62 | 4 |
| Dilate urethra stricture CPT 53601 | not published | not published | $125.16 – $293.70 | 4 |
| Dilate urethra stricture CPT 53605 | not published | not published | $237.27 – $237.27 | 1 |
| Dilate urethra stricture CPT 53621 | not published | not published | $236.16 – $397.25 | 4 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $151.93 – $255.36 | 4 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $617.39 – $617.39 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $217.68 – $217.68 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $708.40 – $708.40 | 1 |
| Dilation of salivary duct CPT 42660 | $333.37 | $629.00 | $463.90 – $692.29 | 4 |
| Dilation of urethra CPT 53661 | not published | not published | $125.16 – $250.32 | 4 |
| Dilation of urethra CPT 53665 | not published | not published | $141.55 – $141.55 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $488.07 – $488.07 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $310.30 – $310.30 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $421.53 – $907.38 | 4 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,632.62 | $6,854.00 | $560.40 – $560.40 | 1 |
| Dilat xst trc new access rcs CPT 50437 | $6,110.90 | $11,530.00 | $936.16 – $936.16 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.63 | $3.07 | $0.90 – $2.33 | 10 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $84.92 | $160.23 | $27.75 – $225.76 | 3 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $38.11 – $83.30 | 4 |
| Disability dlco CPT 94727 | $292.03 | $551.00 | $41.68 – $212.70 | 4 |
| Disaccharidases CPT 82657 | $153.17 | $289.00 | $22.17 – $81.45 | 17 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,696.22 – $1,696.22 | 1 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $5,342.22 – $5,342.22 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $685.28 – $685.28 | 1 |
| Discography cerv/thor spine CPT 72285 | $1,023.96 | $1,932.00 | $175.40 – $3,947.38 | 3 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $422.12 – $422.12 | 1 |
| Dissolve clot heart vessel CPT 92975 | $1,579.93 | $2,981.00 | $1,280.95 – $1,280.95 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,181.14 – $4,181.14 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,887.17 – $2,887.17 | 1 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,188.75 – $1,188.75 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $30.99 – $81.45 | 6 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,631.87 | $3,079.00 | $1,074.25 – $1,074.25 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $170.25 – $655.65 | 17 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $448.57 | 14 |
| Dna antibody native/double stranded CPT 86225 | $51.94 | $98.00 | $13.74 – $61.38 | 17 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $89.70 | 17 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $89.70 | 17 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $89.70 | 17 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $89.70 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $33.00 | $62.27 | $8.01 – $22.54 | 10 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $3.79 | $7.15 | $0.66 – $3.32 | 11 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $3.22 | $6.07 | $0.71 – $2.55 | 10 |
| Doppler echo complete CPT 93320 | $801.36 | $1,512.00 | $62.12 – $62.12 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,345.14 | $2,538.00 | $315.04 – $315.04 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $864.96 | $1,632.00 | $74.56 – $212.70 | 4 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $682.64 | $1,288.00 | $41.82 – $175.22 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | $88.51 | $167.00 | $57.64 – $163.45 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $19.59 | $36.97 | $2.76 – $10.13 | 10 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $615.27 | $1,160.88 | $4.98 – $519.02 | 11 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $573.69 | 14 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $683.20 – $956.48 | 4 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $683.20 – $956.48 | 4 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $783.04 – $783.04 | 1 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $680.65 – $956.48 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $994.68 – $994.68 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,717.74 – $1,717.74 | 1 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $225.49 – $590.01 | 4 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,041.19 – $1,041.19 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,502.18 – $1,502.18 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $434.84 – $434.84 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $1,699.84 – $1,699.84 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $2,320.66 – $2,320.66 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,297.26 – $1,297.26 | 1 |
| Drainage of kidney lesion CPT 50390 | $642.89 | $1,213.00 | $359.01 – $956.48 | 4 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $225.49 – $845.44 | 4 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,329.56 – $1,329.56 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,300.17 – $1,300.17 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $1,411.62 – $1,411.62 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $494.49 – $1,499.12 | 4 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $494.49 – $1,690.66 | 4 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,642.80 – $1,642.80 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,658.88 – $1,658.88 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,888.54 – $1,888.54 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $225.49 – $837.76 | 4 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $494.49 – $849.99 | 4 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $2,544.90 – $2,544.90 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,259.00 – $2,259.00 | 1 |
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.