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 |
|---|---|---|---|---|
| Xe133 xenon 10mci HCPCS A9558 | $170.66 | $322.00 | $309.18 – $309.18 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,762.77 – $2,762.77 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,522.56 – $2,522.56 | 1 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $2,990.05 | 14 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $2,990.05 | 14 |
| Xm archive tissue molec anal CPT 88363 | $36.57 | $69.00 | $16.15 – $77.83 | 11 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $2,736.39 | $5,163.00 | $1,360.29 – $1,360.29 | 1 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $3,714.77 | $7,009.00 | $1,231.35 – $1,231.35 | 1 |
| X-ray abdomen 1 view CPT 74018 | $170.66 | $322.00 | $31.21 – $204.00 | 6 |
| X-ray abdomen 2 views CPT 74019 | $197.16 | $372.00 | $39.75 – $245.18 | 6 |
| X-ray abdomen >=3 views CPT 74021 | $224.19 | $423.00 | $46.58 – $245.18 | 6 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $182.85 | $345.00 | $55.13 – $245.18 | 6 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $147.87 | $279.00 | $36.05 – $204.00 | 6 |
| X-ray ankle 2 views (both sides) CPT 73600 | $135.15 | $255.00 | $28.74 – $204.00 | 6 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $218.89 | $413.00 | $93.63 – $828.27 | 6 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $56.65 | 17 |
| X-ray bone age studies CPT 77072 | $146.28 | $276.00 | $32.46 – $245.18 | 6 |
| X-ray bone length studies CPT 77073 | $83.74 | $158.00 | $48.92 – $245.18 | 6 |
| X-ray bone survey complete CPT 77075 | $197.16 | $372.00 | $92.46 – $245.18 | 6 |
| X-ray bone survey infant CPT 77076 | $162.18 | $306.00 | $103.26 – $245.18 | 6 |
| X-ray cervical spine 2-3 views CPT 72040 | $156.88 | $296.00 | $38.50 – $204.00 | 6 |
| X-ray cervical spine 4-5 views CPT 72050 | $162.18 | $306.00 | $53.89 – $245.18 | 6 |
| X-ray cervical spine >= 6 views CPT 72052 | $166.42 | $314.00 | $62.41 – $245.18 | 6 |
| X-ray clavicle complete (both sides) CPT 73000 | $144.69 | $273.00 | $28.74 – $204.00 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $201.40 | $380.00 | $118.78 – $401.74 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $274.54 | $518.00 | $170.26 – $401.74 | 6 |
| X-ray consultation CPT 76140 | not published | not published | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $138.86 | $262.00 | $27.50 – $204.00 | 6 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $158.47 | $299.00 | $29.98 – $204.00 | 6 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $204.00 – $1,159.48 | 2 |
| Xray endovasc thor ao repr CPT 75957 | $1,411.39 | $2,663.00 | $204.00 – $1,331.50 | 3 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $156.88 | $296.00 | $79.04 – $401.74 | 6 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $248.57 | $469.00 | $60.00 – $245.18 | 6 |
| X-ray exam entire spi 6/> vw CPT 72084 | $274.54 | $518.00 | $69.79 – $245.18 | 6 |
| X-ray exam of arm infant CPT 73092 | $152.64 | $288.00 | $27.57 – $245.18 | 6 |
| X-ray exam of eye sockets CPT 70200 | $158.47 | $299.00 | $48.30 – $245.18 | 6 |
| X-ray exam of femur 1 CPT 73551 | $155.82 | $294.00 | $28.74 – $204.00 | 6 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $31.22 – $204.00 | 6 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $106.16 – $517.79 | 6 |
| X-ray exam of mastoids CPT 70120 | $75.26 | $142.00 | $31.22 – $245.18 | 6 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $60.44 – $1,086.50 | 6 |
| X-ray exam of penis CPT 74445 | not published | not published | $103.26 – $245.18 | 6 |
| X-ray exam of perineum CPT 74775 | not published | not published | $106.57 – $517.79 | 6 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $31.15 – $204.00 | 6 |
| X-ray exam of sinuses CPT 70210 | $147.87 | $279.00 | $29.98 – $204.00 | 6 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $51.47 – $517.79 | 6 |
| X-ray exam of teeth CPT 70300 | not published | not published | $20.15 – $204.00 | 6 |
| X-ray exam of teeth CPT 70310 | not published | not published | $27.57 – $517.79 | 6 |
| X-ray exam si joints CPT 72200 | $112.89 | $213.00 | $29.98 – $245.18 | 6 |
| X-ray exam thorac spine4/>vw CPT 72074 | $163.24 | $308.00 | $37.33 – $245.18 | 6 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $140.98 | $266.00 | $28.81 – $204.00 | 6 |
| X-ray facial bones complete > 3 views CPT 70150 | $158.47 | $299.00 | $45.82 – $245.18 | 6 |
| X-ray fallopian tube CPT 74742 | not published | not published | $100.64 – $204.00 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $182.85 | $345.00 | $32.40 – $204.00 | 6 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $155.82 | $294.00 | $23.84 – $204.00 | 6 |
| X-ray foot 2 views (both sides) CPT 73620 | $148.93 | $281.00 | $26.39 – $204.00 | 6 |
| X-ray forearm 2 views (both sides) CPT 73090 | $144.69 | $273.00 | $28.74 – $204.00 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | $139.92 | $264.00 | $28.74 – $245.18 | 6 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $31.40 – $204.00 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $135.15 | $255.00 | $27.57 – $204.00 | 6 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $226.84 | $428.00 | $48.92 – $245.18 | 6 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $175.96 | $332.00 | $39.71 – $245.18 | 6 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $215.18 | $406.00 | $51.41 – $245.18 | 6 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $249.10 | $470.00 | $55.06 – $245.18 | 6 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $131.44 | $248.00 | $32.40 – $204.00 | 6 |
| X-ray humerus >= 2 views left CPT 73060 | $147.87 | $279.00 | $28.74 – $204.00 | 6 |
| X-ray joint survey 1 view CPT 77077 | $156.88 | $296.00 | $55.06 – $245.18 | 6 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $147.87 | $279.00 | $28.74 – $204.00 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | $152.64 | $288.00 | $32.40 – $204.00 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | $138.86 | $262.00 | $29.91 – $204.00 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $156.88 | $296.00 | $27.57 – $204.00 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $156.88 | $296.00 | $38.50 – $245.18 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $163.24 | $308.00 | $53.89 – $245.18 | 6 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $171.19 | $323.00 | $56.30 – $245.18 | 6 |
| X-ray male genital tract CPT 74440 | not published | not published | $63.03 – $517.79 | 6 |
| X-ray mandible complete > 4 views CPT 70110 | $161.12 | $304.00 | $43.40 – $245.18 | 6 |
| X-ray mandible ltd <4 views CPT 70100 | $119.25 | $225.00 | $31.22 – $204.00 | 6 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $204.00 – $204.00 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $158.47 | $299.00 | $29.98 – $204.00 | 6 |
| X-ray neck soft tissue CPT 70360 | $138.86 | $262.00 | $28.81 – $204.00 | 6 |
| X-ray nose to rectum for foreign body child CPT 76010 | $156.88 | $296.00 | $31.22 – $204.00 | 6 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $77.80 – $517.79 | 6 |
| X-ray optic foramina CPT 70190 | not published | not published | $38.47 – $204.00 | 6 |
| X-ray pelvis 1-2 views CPT 72170 | $130.91 | $247.00 | $29.98 – $245.18 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | $158.47 | $299.00 | $37.29 – $245.18 | 6 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $204.00 – $575.36 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $204.00 – $659.99 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $217.30 | $410.00 | $60.55 – $828.27 | 6 |
| X-ray ribs 2 views left CPT 71100 | $158.47 | $299.00 | $38.50 – $204.00 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $177.55 | $335.00 | $47.06 – $245.18 | 6 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $158.47 | $299.00 | $46.58 – $245.18 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $177.55 | $335.00 | $56.30 – $245.18 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $156.88 | $296.00 | $32.46 – $245.18 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $156.88 | $296.00 | $29.98 – $204.00 | 6 |
| X-ray scapula complete (both sides) CPT 73010 | $146.81 | $277.00 | $31.15 – $245.18 | 6 |
| X-ray sella turcica CPT 70240 | not published | not published | $33.64 – $204.00 | 6 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $146.81 | $277.00 | $26.32 – $204.00 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $156.88 | $296.00 | $43.40 – $204.00 | 6 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $292.56 | $552.00 | $90.08 – $1,086.50 | 6 |
| X-ray skull < 4 views CPT 70250 | $147.87 | $279.00 | $43.37 – $245.18 | 6 |
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.