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 |
|---|---|---|---|---|
| X-ray skull > 4 views complete CPT 70260 | $156.88 | $296.00 | $59.96 – $245.18 | 6 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $103.26 – $245.18 | 6 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $189.21 | $357.00 | $80.25 – $401.74 | 6 |
| X-ray small intestine follow-through study CPT 74248 | $106.00 | $200.00 | $119.30 – $119.30 | 1 |
| X-ray spine single view CPT 72020 | $125.61 | $237.00 | $26.32 – $204.00 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $156.88 | $296.00 | $38.50 – $204.00 | 6 |
| X-ray sternum > 2 views CPT 71120 | $147.87 | $279.00 | $34.88 – $204.00 | 6 |
| X-ray surgical specimen CPT 76098 | $292.56 | $552.00 | $14.36 – $1,086.50 | 7 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $166.42 | $314.00 | $91.22 – $401.74 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $156.88 | $296.00 | $43.37 – $204.00 | 6 |
| X-ray thoracic spine 2 views CPT 72070 | $135.15 | $255.00 | $38.50 – $245.18 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $161.12 | $304.00 | $37.33 – $245.18 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $37.33 – $204.00 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $171.19 | $323.00 | $45.33 – $204.00 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $228.96 | $432.00 | $55.06 – $245.18 | 6 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $158.47 | $299.00 | $28.74 – $204.00 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $138.86 | $262.00 | $22.67 – $204.00 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $208.29 | $393.00 | $117.61 – $401.74 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $192.39 | $363.00 | $118.78 – $401.74 | 6 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $204.00 – $204.00 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $204.00 – $204.00 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $135.15 | $255.00 | $28.74 – $204.00 | 6 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $61.24 – $401.74 | 6 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $389.67 – $389.67 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $299.95 – $299.95 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | $48.76 | $92.00 | $12.91 – $53.13 | 17 |
| Yersinia antibody CPT 86793 | not published | not published | $9.63 – $31.00 | 17 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $207.76 | 14 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $68.47 | 14 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $50.51 | $95.31 | $8.84 – $40.03 | 10 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $85.57 | $161.46 | $6.89 – $22.46 | 11 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $219.35 – $726.48 | 3 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $454.14 | 13 |
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.