Outpatient visit prices at Ssm Health St Mary's Hospital - Madison
34 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
616 | $20,966 | $2,522 | +8% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
558 | $24,914 | $3,035 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
305 | $41,890 | $12,129 | -33% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
292 | $20,663 | $4,817 | -25% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
208 | $42,629 | $10,220 | -37% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
203 | $10,137 | $1,513 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
157 | $15,515 | $3,238 | -25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
153 | $27,566 | $6,600 | -31% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
145 | $9,497 | $1,757 | -19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
124 | $26,389 | $5,361 | -25% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
114 | $11,077 | $2,934 | -42% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
106 | $16,979 | $2,653 | -4% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
102 | $93,689 | $21,754 | -29% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
87 | $22,450 | $5,330 | -35% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
84 | $8,230 | $1,867 | -36% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
81 | $6,383 | $1,481 | -26% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
81 | $35,838 | $9,960 | -30% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
67 | $38,906 | $9,603 | -35% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
64 | $63,901 | $17,359 | -23% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
62 | $11,674 | $3,230 | -50% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
48 | $68,630 | $16,029 | -28% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
43 | $29,933 | $6,087 | -24% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
40 | $17,999 | $3,575 | -18% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
39 | $30,451 | $7,931 | -20% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
34 | $26,985 | $5,010 | -25% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
31 | $27,585 | $5,332 | -20% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
31 | $29,234 | $7,054 | -28% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
23 | $26,837 | $5,089 | -11% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
21 | $11,077 | $1,443 | about average |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
21 | $115,985 | $29,316 | -22% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
17 | $17,351 | $3,558 | -27% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
15 | $65,506 | $18,148 | -31% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
13 | $20,235 | $4,643 | -33% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
11 | $14,072 | $3,496 | -38% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.