Supplies, drugs & other prices at Ascension Columbia St. Mary's Hospital - Milwaukee Campus
Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.
48 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $75.79 | $143 | 2.1× |
| Adm tocilizu covid-19 1st (M0249) | $872.38 | $1,646 | 2.0× |
| Adm tocilizu covid-19 2nd (M0250) | $872.38 | $1,646 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $37.10 | $70 | 0.8× |
| Admin influenza virus vac (G0008) | $38.69 | $73 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $36.04 | $68 | 0.8× |
| Behavior counsel obesity 15m (G0447) | $280.90 | $530 | 2.7× |
| Catheterize for urine spec (P9612) range across 3 matching MRF lines |
$33.92–$40.81 | $64–$77 | varies |
| Chemo extend iv infus w/pump (G0498) | $374.18 | $706 | 1.1× |
| Covid-19 lab test non-cdc (U0002) | $85.33 | $161 | 1.7× |
| Ekg tracing for initial prev (G0404) | $73.14 | $138 | 2.5× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $2,313.98 | $4,366 | 1.9× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $41,040.02 | $77,434 | 0.9× |
| Fern test (Q0114) | $18.02 | $34 | 1.9× |
| Group behave couns 2-10 (G0473) | $94.87 | $179 | 2.5× |
| Group mnt 2 or more 30 mins (G0271) | $66.25 | $125 | 3.9× |
| Group train w/o patient (G0543) | $47.17 | $89 | 1.6× |
| Hbot, full body chamber, 30m (G0277) | $667.27 | $1,259 | 4.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $16,516.92 | $31,164 | 2.0× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $63,961.46 | $120,682 | 2.0× |
| Instlj fecal microbiota ssp (0780T) | $1,691.23 | $3,191 | 12.6× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $73.67 | $139 | 2.0× |
| Mnt subs tx for change dx (G0270) | $66.25 | $125 | 2.1× |
| Oth resp proc, group (G0239) | $228.96 | $432 | 6.1× |
| Perc d-e cor revasc chro sin (C9607) | $18,160.98 | $34,266 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $15,872.44 | $29,948 | 1.4× |
| Perc d-e cor stent ather s (C9602) | $17,589.11 | $33,187 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $16,444.84 | $31,028 | 1.4× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $39,552.84 | $74,628 | 3.0× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $39,552.84 | $74,628 | 3.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $5,321.20 | $10,040 | 0.7× |
| Pinworm examinations (Q0113) | $96.99 | $183 | 22.7× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $73.67 | $139 | 2.0× |
| Prostate biopsy, any mthd (G0416) | $358.28 | $676 | 1.0× |
| Psa screening (G0103) | $30.74 | $58 | 1.6× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) | $2,554.60 | $4,820 | 2.7× |
| Quan CT tiss charac w/o CT (0721T) | $2,463.44 | $4,648 | 3.8× |
| Removal Ss Dfb Electrode (0573T) | $7,635.18 | $14,406 | 2.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $7,635.18 | $14,406 | 2.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $7,635.18 | $14,406 | 2.0× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $45,826.98 | $86,466 | 2.0× |
| Therapeutic procd strg endur (G0237) | $86.39 | $163 | 3.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $14,590.37 | $27,529 | 2.5× |
| Trim nail(s) (G0127) | $130.38 | $246 | 2.2× |
| Trluml perip athrc abd aorta (0236T) | $14,872.86 | $28,062 | 1.3× |
| Trluml Perip Athrc Brchiocph (0237T) | $12,065.98 | $22,766 | 1.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $14,858.55 | $28,035 | 0.8× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $29,971.50 | $56,550 | 2.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.