Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

SSM Health St Mary's Hospital - Madison

700 S PARK ST, Madison, WI 53715

CMS Overall Rating ★★★★☆

How this hospital's prices compare 116 procedures scored

1.3×

the fair BaseRate, typically

above the fair price

Across 116 shoppable procedures, SSM Health St Mary's Hospital - Madison typically charges above the fair BaseRate — you may be able to pay less elsewhere. 54 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Diagnostic procedure preparation fair $43 → $206 4.8×
CT scan, chest (no contrast) fair $277 → $1,045 3.8×
CT scan, neck (cervical spine) fair $292 → $1,059 3.6×

How we calculate the BaseRate →

SSM Health St Mary's Hospital - Madison publishes prices for 118 shoppable procedures in Madison, WI. It's classified by CMS as Acute Care Hospitals (Voluntary non-profit - Private). CMS rates it 4/5 stars, and 74% of patients would recommend it.

Facility Overview

Setting: urban Bed Count: 354 Beds Teaching Status: Teaching Hospital Annual Discharges: 18,126

Patient Experience

Recommendation Rate: 74% High Patient Rating: 73% ER Wait Time (Med): 192 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 118 codes Typical vs Fair BaseRate: 1.3× Price File In Index: Yes MRF Version: 3.0.0

Prices at SSM Health St Mary's Hospital - Madison

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$206	$43	4.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,546	$1,045	$277	3.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,594	$1,059	$292	3.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,265	$1,048	$292	3.6×
Upper endoscopy with biopsy CPT Code: `43239`	$2,857	$4,031	$1,328	3.0×
Ultrasound, pelvis CPT Code: `76856`	$1,041	$618	$205	3.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$4,031	$1,371	2.9×
CT scan, sinuses CPT Code: `70486`	$1,048	$786	$275	2.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$20,161	$7,218	2.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$884	$504	$184	2.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$4,423	$1,685	2.6×
CT scan, pelvis CPT Code: `72192`	$1,586	$737	$285	2.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,292	$2,127	$833	2.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,053	$1,783	$718	2.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,179	$1,363	$553	2.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,800	$1,265	$535	2.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,422	$1,033	$449	2.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$9,825	$4,317	2.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,194	$1,199	$536	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,044	$591	$265	2.2×
C-section delivery (full package) CPT Code: `59510`	—	$9,825	$4,671	2.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,240	$3,033	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,139	$850	$426	2.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$15,603	$8,159	1.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,548	$4,006	1.9×
Bunion correction surgery CPT Code: `28296`	—	$7,548	$4,061	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,775	$908	$495	1.8×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$64,653	$35,587	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$38,877	$21,628	1.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$38,605	$21,945	1.8×
Inguinal hernia repair CPT Code: `49505`	—	$7,548	$4,330	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$35,285	$20,617	1.7×
Breast lump removal CPT Code: `19120`	—	$7,084	$4,359	1.6×
X-ray, lower back CPT Code: `72110`	$524	$266	$166	1.6×
X-ray, hip CPT Code: `73502`	$337	$243	$153	1.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$63	$6	$4	1.4×
Blood test, vitamin D CPT Code: `82306`	$38	$52	$37	1.4×
X-ray, ankle CPT Code: `73610`	$351	$182	$135	1.4×
X-ray, pelvis CPT Code: `72170`	$315	$185	$137	1.3×
X-ray, foot CPT Code: `73630`	$357	$167	$124	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$167	$34	$25	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$106	$29	$22	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$8	$6	1.3×
X-ray, hand CPT Code: `73130`	$282	$176	$134	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$427	$176	$135	1.3×
Hepatitis C antibody test CPT Code: `86803`	$141	$25	$19	1.3×
Total knee replacement CPT Code: `27447`	—	$21,291	$16,470	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$7	$5	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$37	$23	$18	1.3×
Total hip replacement CPT Code: `27130`	—	$20,346	$16,285	1.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$31	$7	$6	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$69	$17	$14	1.2×
Typhoid vaccine HCPCS Code: `90675`	—	$491	$408	1.2×
X-ray, chest (two views) CPT Code: `71046`	$266	$158	$132	1.2×
X-ray, shoulder CPT Code: `73030`	$386	$156	$133	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$155	$14	$12	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$212	$18	$16	1.2×
Blood test, lipase CPT Code: `83690`	$56	$12	$10	1.2×
Culture, blood CPT Code: `87040`	$174	$18	$16	1.1×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$9	$8	1.1×
Culture, bacterial CPT Code: `87070`	$109	$15	$13	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$174	$15	$13	1.1×
Blood test, calcium CPT Code: `82310`	$18	$9	$8	1.1×
Blood test, hemoglobin CPT Code: `85018`	$39	$4	$3	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$208	$182	1.1×
Blood test, magnesium CPT Code: `83735`	$27	$12	$11	1.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$31	$11	$10	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$41	$36	1.1×
Blood test, potassium CPT Code: `84132`	$37	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$151	$14	$13	1.1×
Blood test, amylase CPT Code: `82150`	$74	$11	$10	1.1×
Rabies immune globulin HCPCS Code: `90375`	—	$418	$381	1.1×
Blood test, sodium CPT Code: `84295`	$35	$8	$7	1.1×
Blood antibody screen CPT Code: `86850`	$108	$33	$31	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$57	$55	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$194	$188	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$46	$47	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$279	$186	$193	1.0×
Psychological testing by technician CPT Code: `96138`	—	$380	$400	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$134	$40	$42	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$134	$40	$43	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$134	$40	$43	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$180	$50	$55	0.9×
Family therapy session CPT Code: `90847`	—	$151	$172	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$113	$131	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$151	$187	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$151	$190	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$111	$28	$37	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$469	$151	$204	0.7×
Orthotic fitting and training CPT Code: `97760`	$105	$39	$53	0.7×
Physical therapy (gait training) CPT Code: `97116`	$109	$25	$34	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$107	$28	$38	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$120	$25	$34	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$111	$29	$40	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$113	$30	$41	0.7×
Prosthetic fitting and training CPT Code: `97761`	$124	$34	$47	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$111	$24	$33	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,857	$464	$668	0.7×
X-ray, chest (single view) CPT Code: `71045`	$244	$85	$125	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$184	$280	0.7×
Speech therapy (group session) CPT Code: `92508`	—	$20	$30	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$920	$730	$1,134	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,533	$203	$332	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$268	$65	$109	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$11	$19	0.6×
Trauma team activation HCPCS Code: `G0390`	$7,966	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$860	—	$216	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$366	—	$194	—
Blood test, vitamin B12 CPT Code: `82607`	$9	—	$20	—
Blood transfusion CPT Code: `36430`	$1,420	—	$555	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$12	—	$19	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$14	—	$23	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$90	—	—	—
Injection procedure for pain management HCPCS Code: `G0260`	$2,901	—	$946	—
Hospital observation (per hour) HCPCS Code: `G0378`	$2	—	—	—
Drug screening test HCPCS Code: `G0480`	$162	—	$131	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$124	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,016	—	$221	—