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 |
|---|---|---|---|---|
| Uric acid blood CPT 84550 | $21.20 | $40.00 | $4.52 – $20.08 | 17 |
| Uric acid urine CPT 84560 | $23.32 | $44.00 | $5.08 – $21.25 | 17 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $16.53 | 17 |
| Urinalysis microscopic only CPT 81015 | $11.66 | $22.00 | $3.05 – $14.18 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $9.45 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $22.26 | $42.00 | $3.17 – $14.18 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $9.01 | $17.00 | $2.25 – $10.56 | 17 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $26.32 – $26.32 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $57.68 – $204.33 | 4 |
| Urine Culture Test CPT 87086 | $39.22 | $74.00 | $8.07 – $36.60 | 17 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $24.99 – $175.22 | 4 |
| Urine pregnancy test CPT 81025 | $39.75 | $75.00 | $8.61 – $28.32 | 18 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.25 – $70.45 | 17 |
| Urine shunt to intestine CPT 50815 | not published | not published | $4,493.90 – $4,493.90 | 1 |
| Urography, antegrade CPT 74425 | $201.40 | $380.00 | $60.06 – $828.27 | 6 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $82.73 – $401.74 | 6 |
| Use 1st target lesion CPT 76982 | not published | not published | $101.71 – $519.00 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $22.52 | $42.49 | $14.09 – $38.92 | 10 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $198.83 – $484.40 | 7 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $180.88 – $475.18 | 7 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $191.75 – $467.14 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $107.97 – $285.53 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $80.63 – $213.08 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $58.91 – $98.39 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $203.92 – $334.68 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $208.65 – $252.73 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $535.00 – $617.41 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $222.73 – $410.13 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $55.99 | $105.65 | $60.29 – $104.46 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $40.79 | $76.96 | $26.05 – $88.40 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $80.69 – $277.79 | 10 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $219.57 – $431.09 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $69.83 – $129.84 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $48.03 – $116.35 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $84.92 – $235.06 | 7 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $80.93 – $235.06 | 10 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $275.37 | $519.57 | $174.89 – $504.32 | 11 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $20.74 | $39.13 | $16.43 – $95.34 | 11 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $608.82 – $1,050.79 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $173.46 – $547.14 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $133.15 | $251.23 | $34.54 – $250.59 | 11 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $102.69 – $271.56 | 7 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $26.89 – $65.94 | 7 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $46.48 | $87.69 | $27.49 – $67.41 | 7 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $23.55 – $62.98 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $82.43 – $232.23 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $47.61 – $65.27 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $24.75 – $67.41 | 5 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $11.78 – $31.51 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $30.91 – $83.69 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $80.43 – $220.36 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $45.32 – $119.99 | 7 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $13.44 – $32.97 | 7 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $424.35 – $764.33 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $410.24 – $649.92 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $340.25 – $587.46 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $304.41 | $574.35 | $306.16 – $537.50 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | $160.67 | $303.15 | $166.36 – $315.95 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $442.07 – $950.20 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $214.70 | $405.10 | $48.53 – $399.95 | 11 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $278.37 | $525.22 | $104.58 – $773.48 | 11 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $283.12 – $782.93 | 10 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $469.54 | $885.93 | $326.27 – $893.50 | 11 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $88.32 – $152.81 | 3 |
| Vaccine rabies im CPT 90675 | $695.08 | $1,311.48 | $317.67 – $1,413.92 | 14 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $607.46 – $1,007.72 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,775.47 – $2,202.29 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,101.14 – $1,775.47 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $582.12 – $1,004.30 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $193.91 – $473.94 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $195.41 – $337.57 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $103.83 | $195.90 | $43.12 – $161.89 | 11 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $68.96 | $130.11 | $31.95 – $95.62 | 11 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $194.95 – $500.69 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $243.13 – $625.13 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $281.52 – $765.09 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.03 | 9 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $3,576.10 – $3,576.10 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,492.67 – $4,492.67 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $3,332.08 – $3,332.08 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,744.30 – $4,744.30 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,408.15 – $4,408.15 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,184.90 – $3,184.90 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $195.34 – $273.48 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,277.81 – $3,277.81 | 1 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $7,480.78 – $7,480.78 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $2,985.90 – $2,985.90 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $6,208.59 – $6,208.59 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $5,831.30 – $5,831.30 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $3,232.94 – $3,232.94 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $403.47 – $403.47 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $4,292.97 – $4,292.97 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $4,245.00 – $4,245.00 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $61.48 | $116.00 | $13.54 – $61.38 | 17 |
| Valvuloplasty aortic CPT 92986 | $10,128.83 | $19,111.00 | $4,377.13 – $4,377.13 | 1 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $6,897.03 – $6,897.03 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $8,172.80 – $8,172.80 | 1 |
| Valvuloplasty mitral CPT 92987 | $9,916.83 | $18,711.00 | $4,517.21 – $4,517.21 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $3,562.04 – $3,562.04 | 1 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $11,186.68 – $11,186.68 | 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.