Supplies, drugs & other prices at SSM Health St. Mary's Hospital - Madison
Madison, WI · every code in this section with a posted price and a Medicare benchmark.
53 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,010.35 | $1,837 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $487.85 | $887 | 1.4× |
| Admin hepatitis b vaccine (G0010) | $133.65 | $243 | 2.9× |
| Admin influenza virus vac (G0008) | $133.65 | $243 | 2.9× |
| Admin pneumococcal vaccine (G0009) | $133.65 | $243 | 2.9× |
| Alcohol/sub misuse assess (G2011) range across 2 matching MRF lines |
$65.45–$75.35 | $119–$137 | varies |
| Alcohol/subs interv 15-30mn (G0396) range across 2 matching MRF lines |
$74.25–$85.80 | $135–$156 | varies |
| Alcohol/subs interv >30 min (G0397) range across 2 matching MRF lines |
$115.50–$133.10 | $210–$242 | varies |
| Autolog prp not diab ulcer (G0460) | $2,325.40 | $4,228 | 1.2× |
| Catheterize for urine spec (P9612) | $17.05 | $31 | 1.8× |
| Direct refer hospital observ (G0379) | $451.55 | $821 | 0.8× |
| Drug test def 1-7 classes (G0480) | $162.25 | $295 | 1.4× |
| Fecal blood scrn immunoassay (G0328) | $33.55 | $61 | 1.9× |
| Fecal microbiota prep instil (G0455) | $847.55 | $1,541 | 0.9× |
| Fern test (Q0114) | $59.95 | $109 | 6.2× |
| Inj for sacroiliac jt anesth (G0260) | $2,901.25 | $5,275 | 4.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $24,558.60 | $44,652 | 0.8× |
| Mra w/cont, chest (C8909) | $2,918.30 | $5,306 | 8.6× |
| Mra w/o cont, chest (C8910) | $1,012.55 | $1,841 | 4.4× |
| Mra w/o fol w/cont, abd (C8902) | $3,526.05 | $6,411 | 10.4× |
| Mra w/o fol w/cont, chest (C8911) | $3,620.10 | $6,582 | 10.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,486.45 | $6,339 | 10.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,585.45 | $6,519 | 10.6× |
| Mra, w/dye, spinal canal (C8931) | $2,024 | $3,680 | 6.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,656.40 | $6,648 | 10.8× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $3,186.70 | $5,794 | 9.9× |
| Oth resp proc, group (G0239) | $343.75 | $625 | 9.5× |
| Oth resp proc, indiv (G0238) | $71.50 | $130 | 2.5× |
| Perc d-e cor revasc chro sin (C9607) | $11,042.35 | $20,077 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $8,448 | $15,360 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $15,199.80 | $27,636 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $8,448 | $15,360 | 0.8× |
| Perq Sacral Augmt Bilat Inj (0201T) | $17,458.10 | $31,742 | 2.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $8,729.05 | $15,871 | 1.2× |
| Prostate biopsy, any mthd (G0416) | $244.20 | $444 | 0.7× |
| Psa screening (G0103) | $167.20 | $304 | 8.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $792 | $1,440 | 1.1× |
| Revasc intra lithotrip-ather (C9766) | $13,664.75 | $24,845 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $14,856.60 | $27,012 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $15,281.20 | $27,784 | 1.4× |
| Revasc lith-sten-ath tib/per (C9775) | $13,944.70 | $25,354 | 0.8× |
| Revasc lithotr-ather tib/per (C9774) | $14,782.90 | $26,878 | 0.8× |
| Revasc lithotr-stent tib/per (C9773) | $17,217.75 | $31,305 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $10,113.40 | $18,388 | 0.9× |
| Revasc lithotrip-stent-ather (C9767) | $19,044.30 | $34,626 | 1.1× |
| Tee w or w/o fol w/cont,cong (C8926) | $786.50 | $1,430 | 1.0× |
| Therapeutic ultrafiltration (0692T) | $729.30 | $1,326 | 0.5× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$7,206.10–$8,725.20 | $13,102–$15,864 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $14,993 | $27,260 | 0.8× |
| Tte w or w/o fol w/con,stres (C8928) | $854.70 | $1,554 | 1.1× |
| Tte w or w/o fol w/cont, com (C8921) | $935.55 | $1,701 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $2,013.55 | $3,661 | 2.6× |
| Unsched dialysis esrd pt hos (G0257) | $710.60 | $1,292 | 1.1× |
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.