SSM Health St. Mary's Hospital - Madison

Madison, WI

Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD) with biopsy (43239) $2,857.25 $5,195 3.2×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$3,083.85–$6,167.70 $5,607–$11,214 varies
CT head/brain without contrast (70450) $1,044.45 $1,899 10.3×
MRI brain without contrast (70551)
range across 2 matching MRF lines
$1,542.75–$2,057.55 $2,805–$3,741 varies
MRI brain with contrast (70552) $2,563 $4,660 7.6×
MRI brain without and with contrast (70553) $3,291.75 $5,985 9.7×
X-ray lower spine, 4+ views (72110) $523.60 $952 5.2×
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$1,880.45–$2,506.90 $3,419–$4,558 varies
CT pelvis with contrast (72193) $1,743.50 $3,170 10.2×
MRI lower-extremity joint without contrast (73721) $2,179.10 $3,962 9.4×
CT abdomen and pelvis with contrast (74177) $3,052.50 $5,550 9.0×
Ultrasound, abdomen complete (76700) $1,016.40 $1,848 10.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$1,105.50–$1,271.60 $2,010–$2,312 varies
Ultrasound, transvaginal (76830) $816.20 $1,484 8.0×
Mammography, one breast (diagnostic) (77065) $183.70 $334 2.1×
Mammography, both breasts (diagnostic) (77066) $366.30 $666 3.3×
Basic metabolic panel (80048) $174.35 $317 20.6×
Comprehensive metabolic panel (80053) $212.30 $386 20.1×
Lipid panel (80061)
range across 3 matching MRF lines
$30.25–$124.85 $55–$227 varies
Renal function panel (80069) $199.65 $363 23.0×
Hepatic function panel (80076) $150.70 $274 18.4×
Urinalysis, non-automated, without microscopy (81002) $15.95 $29 4.6×
PSA, total (84153)
range across 3 matching MRF lines
$9.90–$174.90 $18–$318 varies
Thyroid stimulating hormone (TSH) (84443) $106.15 $193 6.3×
CBC with automated differential (85025) $154.55 $281 19.9×
CBC, automated (85027) $90.20 $164 13.9×
Prothrombin time (PT) (85610)
range across 6 matching MRF lines
$7.70–$32.45 $14–$59 varies
Partial thromboplastin time (PTT) (85730)
range across 7 matching MRF lines
$11.55–$77 $21–$140 varies
Left heart catheterization (93452) $5,592.95 $10,169 1.8×
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines
$757.35–$4,385.70 $1,377–$7,974 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $120.45 $219 4.1×

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.

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Download the machine-readable file (JSON, 28.7 MB) ↓ — captured 2026-09-08

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