SSM Health St. Mary's Hospital - Janesville
3400 East Racine Street, Janesville, WI · SSM Health · · NPI 1548654676
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Bundled special stain group 1 microorganisms CPT 88312 | $488.95 | $889.00 | $39.37 – $392.67 | 3 |
| Bundled special stain group 2 CPT 88313 | $614.90 | $1,118.00 | $100.51 – $314.76 | 3 |
| Bundle his recording CPT 93600 | not published | not published | $3,232.00 – $7,856.24 | 3 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.02 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $136.40 | $248.00 | not published | 0 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $6.06 – $7.96 | 3 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,551.12 – $3,755.45 | 5 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,551.12 – $3,755.45 | 5 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Bur rotalink 2.15mm HCPCS C1724 | $3,497.24 | $6,358.62 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.77 – $3.49 | 5 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $6.80 – $10.51 | 3 |
| Buttock fasciotomy CPT 27027 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx bone trocar/ndl deep CPT 20225 | $1,452.00 | $2,640.00 | $1,247.68 – $4,321.00 | 4 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $2,957.88 – $13,711.00 | 4 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $230.21 – $4,074.00 | 4 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $18,190.00 – $24,224.00 | 2 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Bx liver with other CPT 47001 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bx muscle CPT 20200 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Bx pancreas pq ndl CPT 48102 | $1,584.00 | $2,880.00 | $1,247.68 – $4,321.00 | 4 |
| Bx perianal mass CPT 46999 | not published | not published | $702.53 – $13,711.00 | 4 |
| Bx pleura pq ndl CPT 32400 | $1,129.70 | $2,054.00 | $1,247.68 – $4,321.00 | 4 |
| Bx prostate trnsrctl u/s guid CPT 55707 | not published | not published | $2,662.91 – $3,550.55 | 2 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $2,662.91 – $4,321.00 | 4 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx skin incisnl ea sep/add l les CPT 11107 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,247.68 – $6,798.00 | 4 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,636.25 | $2,975.00 | $534.95 – $4,074.00 | 4 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $695.80 – $4,074.00 | 4 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $695.80 – $4,074.00 | 4 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bypass temp external fem-fem CPT 37799 | $116.60 | $212.00 | $473.89 – $13,711.00 | 4 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $59.45 – $144.14 | 5 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $50.06 – $124.88 | 5 |
| C1 esterase inhibitor func - sendout CPT 86161 | $71.50 | $130.00 | $9.00 – $95.45 | 5 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $175.30 – $431.49 | 5 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Cable cath 22-pin diag HCPCS C1730 | $468.27 | $851.40 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $18.50 – $44.90 | 5 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $634.70 – $4,940.07 | 5 |
| Cadd pump refill CPT 96521 | not published | not published | $160.68 – $214.25 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $64.34 – $155.62 | 5 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $2,113.46 – $2,113.46 | 1 |
| Calcium 24 hour urine CPT 82340 | $84.70 | $154.00 | $4.52 – $47.90 | 5 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.07 – $0.08 | 3 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.12 – $0.20 | 3 |
| Calcium ionized CPT 82330 | $166.10 | $302.00 | $10.26 – $108.74 | 5 |
| Calcium total CPT 82310 | $45.65 | $83.00 | $3.87 – $41.03 | 5 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $9.65 – $102.35 | 5 |
| Calculus analysis qual CPT 82355 | not published | not published | $8.68 – $92.07 | 5 |
| Calprotectin fecal CPT 83993 | $128.70 | $234.00 | $14.72 – $156.11 | 5 |
| Campylobacter antibody CPT 86625 | not published | not published | $9.84 – $46.24 | 5 |
| Canakinumab injection HCPCS J0638 | not published | not published | $117.41 – $267.89 | 5 |
| Candida dna CPT 87480 | $55.00 | $100.00 | $15.04 – $159.48 | 5 |
| Candida skin test CPT 86485 | not published | not published | $21.85 – $107.87 | 3 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $1,682.11 | $3,058.38 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $521.41 – $1,316.74 | 5 |
| Canthotomy 67715 CPT 67715 | not published | not published | $1,796.05 – $6,798.00 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.