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 |
|---|---|---|---|---|
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,041.67 – $3,041.67 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,293.94 – $1,293.94 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,374.51 – $1,374.51 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,503.99 – $2,503.99 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $151.93 – $212.70 | 4 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $818.66 – $818.66 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $131.99 – $382.47 | 8 |
| Limited autopsy CPT 88037 | not published | not published | $117.58 – $339.96 | 8 |
| Limited visual field xm CPT 92081 | not published | not published | $54.67 – $80.75 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $33.48 | $63.17 | $3.66 – $26.53 | 11 |
| Lipase CPT 83690 | $46.64 | $88.00 | $6.89 – $30.71 | 17 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,782.83 – $1,782.83 | 1 |
| Lipoprotein blood high res frac & quant CPT 83701 | $81.09 | $153.00 | $33.86 – $110.95 | 17 |
| Lipoprotein blood quant CPT 83704 | $85.33 | $161.00 | $34.19 – $141.66 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | $29.15 | $55.00 | $8.19 – $36.60 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $30.74 | $58.00 | $10.50 – $42.50 | 17 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $114.51 | 14 |
| Lip surgery procedure CPT 40799 | not published | not published | $225.49 – $315.69 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.63 – $31.00 | 17 |
| Lithium therapeutic drug level CPT 80178 | $34.98 | $66.00 | $6.61 – $29.50 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $1,602.19 | $3,023.00 | $452.81 – $452.81 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $3,411.94 – $3,411.94 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $4,057.72 – $4,057.72 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $4,343.47 – $4,343.47 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $582.05 | 6 |
| Liver elastography 91200 CPT 91200 | not published | not published | $44.06 – $212.70 | 4 |
| Liver Function Test CPT 80076 | $51.94 | $98.00 | $8.17 – $36.60 | 17 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $5,215.88 – $5,215.88 | 1 |
| Liver imaging CPT 78201 | not published | not published | $72.31 – $1,101.15 | 5 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $82.14 – $1,101.15 | 5 |
| Liver/spleen imag static only CPT 78215 | $1,463.33 | $2,761.00 | $82.73 – $848.52 | 5 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $93.81 – $848.52 | 5 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $240.96 – $240.96 | 1 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,422.41 – $2,422.41 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $3.46 | $6.52 | $1.04 – $4.12 | 10 |
| Loudness balance test CPT 92562 | not published | not published | $151.91 – $423.33 | 4 |
| Low back disk surgery CPT 63030 | not published | not published | $3,471.59 – $3,471.59 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $858.60 | $1,620.00 | $172.86 – $724.00 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $850.12 | $1,604.00 | $208.83 – $828.27 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $841.64 | $1,588.00 | $103.26 – $724.00 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,441.07 | $2,719.00 | $346.78 – $836.00 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,387.01 | $2,617.00 | $305.64 – $836.00 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,341.96 | $2,532.00 | $234.71 – $836.00 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $155.29 | $293.00 | $38.50 – $245.18 | 6 |
| Lower jaw bone graft CPT 21215 | not published | not published | $15,036.30 – $15,036.30 | 1 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $192.94 – $391.17 | 4 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $2,593.36 – $2,593.36 | 1 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $2,997.06 – $2,997.06 | 1 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $2,962.22 – $2,962.22 | 1 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $3,261.29 – $3,261.29 | 1 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $99.15 | 17 |
| Lumbar diskogram s&i CPT 72295 | $1,023.96 | $1,932.00 | $148.11 – $3,947.38 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $5,701.60 – $5,701.60 | 1 |
| Lung function test (mbc/mvv) CPT 94200 | $85.33 | $161.00 | $18.73 – $80.75 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $365.17 | $689.00 | $28.39 – $212.70 | 4 |
| Lung perfusion imaging CPT 78580 | $1,315.46 | $2,482.00 | $124.96 – $848.52 | 5 |
| Lung transplant double CPT 32853 | not published | not published | $16,587.87 – $16,587.87 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $11,906.57 – $11,906.57 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $13,025.64 – $13,025.64 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $17,639.88 – $17,639.88 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $5,333.34 – $5,333.34 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $292.69 | $552.25 | $213.88 – $532.74 | 9 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $63.11 | $119.08 | $44.24 – $107.33 | 9 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $576.64 | $1,088.00 | $739.87 – $739.87 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.78 – $189.75 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $89.70 | 17 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $2,544.72 – $2,544.72 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $1,498.31 | $2,827.00 | $200.45 – $1,101.15 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $253.78 | 17 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $219.56 | 17 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $86.54 – $445.35 | 17 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $213.66 | 17 |
| Lymph vessel x-ray arm/leg CPT 75801 | $894.64 | $1,688.00 | $146.25 – $1,218.65 | 6 |
| Lymph vessel x-ray arms/legs CPT 75803 | $991.63 | $1,871.00 | $200.76 – $3,163.82 | 3 |
| Lymph vessel x-ray trunk CPT 75805 | $2,313.45 | $4,365.00 | $139.04 – $6,438.74 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | $1,691.23 | $3,191.00 | $201.45 – $6,438.74 | 3 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $494.49 – $979.42 | 4 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $521.64 – $521.64 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $933.13 – $933.13 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.56 – $30.22 | 8 |
| Macroscopic exam arthropod CPT 87168 | $30.74 | $58.00 | $4.27 – $18.87 | 17 |
| Macroscopic exam parasite CPT 87169 | $36.04 | $68.00 | $4.31 – $18.87 | 17 |
| Magnesium CPT 83735 | $39.75 | $75.00 | $6.70 – $29.50 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $8.55 | $16.14 | $0.19 – $1.49 | 10 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $234.71 – $836.00 | 6 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $59.03 | 17 |
| Male sling procedure CPT 53440 | not published | not published | $2,761.62 – $2,761.62 | 1 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $10,898.09 – $10,898.09 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,220.12 – $1,220.12 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,513.22 – $1,513.22 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $52.47 | $99.00 | $93.30 – $175.22 | 4 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $104.94 | $198.00 | $83.98 – $175.22 | 4 |
| Manipulation of hip joint CPT 27275 | not published | not published | $661.11 – $661.11 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $464.24 – $464.24 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $232.93 – $360.36 | 4 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $6.05 | $11.42 | $3.12 – $10.19 | 10 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $16.53 | 17 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $286.86 – $286.86 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $496.13 – $496.13 | 1 |
| Map tachycard site(s) CPT 93609 | $3,842.50 | $7,250.00 | $355.37 – $20,925.00 | 2 |
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.