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 |
|---|---|---|---|---|
| Inj dx for sinogram CPT 20501 | $311.64 | $588.00 | $428.47 – $428.47 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,724.09 | $3,253.00 | $672.45 – $941.43 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $682.07 – $682.07 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $279.38 – $401.30 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | $98.28 | $185.44 | $66.67 – $169.83 | 9 |
| Injection, doxercalciferol HCPCS J1270 | $5.95 | $11.22 | $0.37 – $4.12 | 10 |
| Injection during cath supravalvular aortography CPT 93567 | $495.55 | $935.00 | $460.22 – $460.22 | 1 |
| Injection epidural blood patch or clot CPT 62273 | $756.31 | $1,427.00 | $641.19 – $941.43 | 4 |
| Injection eye drug CPT 67028 | not published | not published | $322.08 – $450.91 | 4 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $588.52 – $588.52 | 1 |
| Injection for bladder x-ray CPT 51600 | $456.33 | $861.00 | $663.49 – $663.49 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $879.76 – $879.76 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $341.32 | $644.00 | $473.56 – $473.56 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $432.75 – $432.75 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $221.97 – $221.97 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $385.83 – $385.83 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $359.87 – $359.87 | 1 |
| Injection, fulvestrant HCPCS J9395 | $88.11 | $166.25 | $8.19 – $114.55 | 11 |
| Injection into brain canal CPT 61026 | not published | not published | $376.95 – $941.43 | 4 |
| Injection into brain canal CPT 61055 | $657.20 | $1,240.00 | $286.64 – $439.84 | 4 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $703.63 – $1,239.41 | 4 |
| Injection into spinal artery CPT 62294 | not published | not published | $864.49 – $2,918.39 | 4 |
| Injection into vocal cord CPT 31513 | not published | not published | $377.06 – $527.88 | 4 |
| Injection intraop add-on CPT 48400 | not published | not published | $390.53 – $390.53 | 1 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $530.59 – $530.59 | 1 |
| Injection of sinus tract CPT 20500 | $1,015.48 | $1,916.00 | $379.23 – $379.23 | 1 |
| Injection,onabotulinumtoxina HCPCS J0585 | $10.02 | $18.90 | $7.11 – $18.79 | 11 |
| Injection px peyronie ds CPT 54200 | not published | not published | $236.16 – $388.40 | 4 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $365.17 | $689.00 | $144.24 – $546.25 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,596.89 | $3,013.00 | $453.31 – $941.43 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $655.08 | $1,236.00 | $291.87 – $941.43 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $930.68 | $1,756.00 | $805.87 – $1,210.29 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $663.56 | $1,252.00 | $345.10 – $345.10 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,423.05 | $2,685.00 | $699.45 – $1,210.29 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $643.42 | $1,214.00 | $319.10 – $319.10 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,453.79 | $2,743.00 | $634.88 – $1,210.29 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,487.71 | $2,807.00 | $672.45 – $941.43 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,053.64 | $1,988.00 | $672.45 – $941.43 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $657.20 | $1,240.00 | $214.25 – $401.30 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $260.23 | $491.00 | $200.71 – $401.30 | 4 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $384.25 | $725.00 | $231.33 – $401.30 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $148.93 | $281.00 | $44.80 – $73.37 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $109.18 | $206.00 | $47.46 – $47.46 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $395.91 | $747.00 | $185.23 – $286.41 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $342.38 | $646.00 | $69.11 – $96.75 | 4 |
| Injection treatment of eye CPT 66020 | not published | not published | $677.48 – $677.48 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $601.16 – $601.16 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,673.74 – $2,673.74 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,658.07 – $2,658.07 | 1 |
| Injection treatment of nerve CPT 64681 | not published | not published | $864.49 – $1,302.52 | 4 |
| Injection treatment of nose CPT 30200 | not published | not published | $413.77 – $692.29 | 4 |
| Inject sacroiliac joint CPT 27096 | $1,336.66 | $2,522.00 | $591.76 – $591.76 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $290.08 – $406.38 | 4 |
| Inject/treat eye socket CPT 67505 | not published | not published | $290.27 – $406.38 | 4 |
| Inject/treat eye socket CPT 67515 | not published | not published | $290.27 – $406.38 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $26.85 | $50.66 | $21.28 – $49.32 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,034.56 | $1,952.00 | $605.60 – $941.43 | 4 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,005.41 | $1,897.00 | $565.36 – $1,210.29 | 4 |
| Inj for ext venography CPT 36005 | $743.06 | $1,402.00 | $1,182.78 – $1,182.78 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $597.92 – $597.92 | 1 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $495.55 | $935.00 | $501.87 – $501.87 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $192.75 – $192.75 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $200.94 – $200.94 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $151.37 – $151.37 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $510.39 | $963.00 | $558.76 – $558.76 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $864.49 – $1,210.29 | 4 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $491.84 | $928.00 | $192.94 – $270.12 | 4 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $192.94 – $270.12 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | $135.29 | $255.27 | $46.54 – $150.30 | 11 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $82.58 | $155.80 | $1.64 – $65.44 | 6 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $75.97 | $143.34 | $31.44 – $77.96 | 10 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $398.85 – $398.85 | 1 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $25.65 | $48.40 | $10.64 – $26.38 | 10 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $913.19 | $1,723.00 | $587.21 – $907.38 | 4 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $6,003.06 – $6,003.06 | 1 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $5,747.59 – $5,747.59 | 1 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $123.59 | $233.19 | $75.37 – $227.58 | 5 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $170.13 – $170.13 | 1 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $596.32 – $596.32 | 1 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $583.07 – $583.07 | 1 |
| Inj proc for lymphang CPT 38790 | $913.19 | $1,723.00 | $303.88 – $303.88 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $1,225.60 – $1,225.60 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $721.33 | $1,361.00 | $663.31 – $663.31 | 1 |
| Inj proc sialogram CPT 42550 | $288.32 | $544.00 | $493.14 – $493.14 | 1 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $387.81 – $387.81 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $21.14 | $39.88 | $14.16 – $39.62 | 11 |
| Inj scleros sol mult veins CPT 36471 | $422.94 | $798.00 | $387.95 – $629.89 | 4 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $387.95 – $543.13 | 4 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $387.95 – $543.13 | 3 |
| Inj testosterone cypionate HCPCS J1071 | $0.22 | $0.41 | $0.04 – $0.17 | 10 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $487.73 – $487.73 | 1 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $422.12 – $422.12 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $246.45 | $465.00 | $204.58 – $401.53 | 4 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $14,245.69 – $14,245.69 | 1 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $5,573.33 – $5,573.33 | 1 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $5,151.20 – $5,151.20 | 1 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $7,950.57 – $7,950.57 | 1 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $8,206.34 – $8,206.34 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $257.78 – $413.52 | 4 |
| Ins device for right guide open CPT 49412 | not published | not published | $297.36 – $297.36 | 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.