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 |
|---|---|---|---|---|
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $775.36 – $775.36 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $494.49 – $692.29 | 4 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $3.36 | $6.34 | $0.90 – $5.64 | 10 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $20.08 | $37.88 | $30.13 – $30.13 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $569.75 | $1,075.00 | $331.70 – $331.70 | 1 |
| Drug assay caffeine CPT 80155 | $34.98 | $66.00 | $23.40 – $90.64 | 17 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $88.46 | 14 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $93.53 | 14 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $125.86 | 14 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $88.46 | 14 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $60.69 | 11 |
| Drug of abuse screen urine CPT 80305 | $73.14 | $138.00 | $12.60 – $43.68 | 16 |
| Drug screening tapentadol CPT 80372 | not published | not published | $31.52 – $81.45 | 6 |
| Drug screen quant tiagabine CPT 80199 | $107.59 | $203.00 | $27.11 – $81.45 | 17 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $32.60 – $81.45 | 6 |
| Drug test def 8-14 classes HCPCS G0481 | $249.10 | $470.00 | $164.42 – $367.99 | 12 |
| Drug test prsmv instrmnt CPT 80306 | $48.76 | $92.00 | $17.14 – $59.03 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $668.86 | $1,262.00 | $62.14 – $234.91 | 16 |
| Drvvt confirm - quest CPT 85597 | $63.60 | $120.00 | $17.98 – $80.28 | 17 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,055.85 – $1,055.85 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,741.91 | $8,947.00 | $1,479.17 – $1,479.17 | 1 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $387.95 – $1,025.56 | 4 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $387.95 – $881.62 | 4 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $594.39 – $1,008.67 | 4 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $594.39 – $1,292.59 | 4 |
| Ductogram sgl duct CPT 77053 | $174.37 | $329.00 | $16.35 – $517.79 | 7 |
| Duodenal exclusion CPT 48547 | not published | not published | $6,441.23 – $6,441.23 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $254.01 – $721.31 | 4 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,326.59 | $2,503.00 | $128.08 – $328.59 | 4 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $81.53 – $144.56 | 4 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $628.58 | $1,186.00 | $81.53 – $144.56 | 4 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $969.37 | $1,829.00 | $82.96 – $212.70 | 4 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $915.31 | $1,727.00 | $133.21 – $328.59 | 4 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $3,602.89 | $6,797.90 | $59.11 – $59.11 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $127.78 | $241.09 | $90.74 – $218.09 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $51.47 – $245.18 | 6 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $151.93 – $256.39 | 4 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $65.86 – $65.86 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,077.49 | $2,033.00 | $1,206.54 – $1,206.54 | 1 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,945.32 | $7,444.00 | $1,142.72 – $1,142.72 | 1 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,252.92 | $2,364.00 | $1,105.09 – $1,105.09 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $198.12 – $542.47 | 4 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $746.04 – $1,274.55 | 4 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $910.39 – $1,274.55 | 4 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $302.38 – $423.33 | 4 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $151.93 – $508.32 | 4 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $109.12 – $109.12 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $294.63 – $294.63 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $94.60 – $94.60 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $377.06 – $575.35 | 4 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $579.46 – $579.46 | 1 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $186.61 – $186.61 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $236.16 – $510.82 | 4 |
| Dynamic surface emg CPT 96002 | not published | not published | $71.77 – $423.33 | 4 |
| Ear and throat examination CPT 92502 | not published | not published | $325.31 – $692.29 | 4 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $511.91 – $511.91 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,662.88 – $2,662.88 | 1 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $45.43 – $80.75 | 4 |
| Ear protector evaluation CPT 92596 | not published | not published | $38.11 – $137.50 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $260.23 | $491.00 | $27.44 – $80.75 | 4 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $23.63 – $23.63 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $162.71 | $307.00 | $18.16 – $80.75 | 4 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $89.13 – $556.75 | 4 |
| Ecg external < 48 hours recording CPT 93225 | $886.16 | $1,672.00 | $86.77 – $175.22 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $555.97 | $1,049.00 | $57.68 – $124.00 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $854.36 | $1,612.00 | $38.11 – $53.35 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $642.89 | $1,213.00 | $38.11 – $53.35 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $672.21 – $672.21 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $85.65 – $85.65 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,086.72 | $5,824.00 | $214.17 – $745.37 | 4 |
| Echocardiography doppler color flow mapping CPT 93325 | $323.30 | $610.00 | $10.85 – $10.85 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,465.45 | $2,765.00 | $86.87 – $328.59 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $646.60 | $1,220.00 | $24.79 – $24.79 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $103.26 – $519.00 | 6 |
| Echo exam of eye CPT 76519 | not published | not published | $103.26 – $519.00 | 6 |
| Echo exam of eye CPT 76529 | not published | not published | $85.50 – $519.00 | 6 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $17.22 – $519.00 | 6 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $286.59 – $1,086.50 | 6 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $142.00 – $519.00 | 6 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $98.57 – $519.00 | 6 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $83.32 – $519.00 | 6 |
| Echo exam uterus 76831- CPT 76831 | $320.65 | $605.00 | $125.55 – $519.00 | 6 |
| Echograp trans r pros study CPT 76873 | $348.21 | $657.00 | $103.26 – $519.00 | 6 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $78.63 – $519.00 | 2 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $519.00 – $519.00 | 1 |
| Echo guide for amniocentesis CPT 76946 | $320.65 | $605.00 | $43.19 – $519.00 | 2 |
| Echo guide for artery repair CPT 76936 | $594.13 | $1,121.00 | $302.38 – $595.01 | 6 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $110.88 – $519.00 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $192.10 – $519.00 | 2 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $116.99 – $519.00 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $117.71 – $519.00 | 2 |
| Echo stress CPT 93350 | $2,215.40 | $4,180.00 | $239.46 – $745.37 | 4 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $129.30 – $745.37 | 4 |
| Echo tee guidance CPT 93355 | $3,138.13 | $5,921.00 | $759.56 – $759.56 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,026.19 | $3,823.00 | $410.58 – $745.37 | 4 |
| Echo transesophageal CPT 93313 | $1,092.33 | $2,061.00 | $76.50 – $745.37 | 4 |
| Echo transesophageal CPT 93314 | not published | not published | $346.15 – $346.15 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $459.34 – $745.37 | 4 |
| Echo transesophageal CPT 93317 | not published | not published | $343.06 – $343.06 | 1 |
| Echo transesophageal intraop CPT 93318 | $1,520.04 | $2,868.00 | $378.18 – $745.37 | 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.