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 |
|---|---|---|---|---|
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.06 – $0.10 | 5 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $2.63 – $6.42 | 5 |
| Capsular contracture release CPT 23020 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Cap trach decann 15mm HCPCS C1750 | $592.43 | $1,077.15 | not published | 0 |
| Carbamazepine free CPT 80157 | $13.75 | $25.00 | $9.94 – $105.44 | 5 |
| Carbamazepine free -sendout CPT 80161 | $37.95 | $69.00 | $13.98 – $108.82 | 5 |
| Carbamazepine total therapeutic drug level CPT 80156 | $185.35 | $337.00 | $10.93 – $115.81 | 5 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $183.37 – $461.98 | 5 |
| Carbohydrate deficient transf - sendout CPT 82373 | $82.50 | $150.00 | $13.54 – $143.58 | 5 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $4.12 – $43.73 | 5 |
| Carbon dioxide CPT 82374 | $56.10 | $102.00 | $3.66 – $38.86 | 5 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $4.01 – $6.72 | 3 |
| Carboxyhemoglobin quantitative CPT 82375 | $182.60 | $332.00 | $9.24 – $97.96 | 5 |
| Carcinoembryonic ag (cea) CPT 82378 | $263.45 | $479.00 | $14.22 – $150.85 | 5 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $412.78 – $550.38 | 2 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $412.78 – $550.38 | 2 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $412.78 – $2,258.41 | 3 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $978.03 – $2,987.68 | 3 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $978.03 – $2,052.89 | 3 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,891.45 | $3,439.00 | $978.03 – $2,210.71 | 3 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $153.45 | $279.00 | $97.38 – $129.84 | 2 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $121.00 | $220.00 | $97.38 – $129.84 | 2 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $302.00 – $1,148.53 | 3 |
| Cardiokymography HCPCS Q0035 | not published | not published | $28.22 – $93.01 | 3 |
| Cardiolipin antibody iga CPT 86147 | $32.45 | $59.00 | $19.09 – $46.24 | 5 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,646.70 | $2,994.00 | $499.30 – $2,672.00 | 3 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $499.30 – $2,672.00 | 3 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $329.50 – $329.50 | 1 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $68.20 | $124.00 | $29.44 – $39.26 | 2 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $36.85 | $67.00 | $15.69 – $20.92 | 2 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $45.22 – $104.67 | 5 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $438.68 – $4,683.59 | 5 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $438.68 – $4,683.59 | 5 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $180.01 – $472.34 | 5 |
| Carotene CPT 82380 | $23.65 | $43.00 | $6.92 – $73.37 | 5 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,401.95 | $2,549.00 | $180.25 – $240.33 | 2 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Car seat/bed test 60 minutes CPT 94780 | $110.55 | $201.00 | $28.22 – $37.62 | 2 |
| Car seat/bed test additional 30 minutes CPT 94781 | $56.10 | $102.00 | not published | 0 |
| Car-t admn autologous CPT 38228 | not published | not published | $249.53 – $4,074.00 | 3 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $4,074.00 – $4,074.00 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $4,074.00 – $4,074.00 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $4,074.00 – $4,074.00 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $702.53 – $4,074.00 | 4 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $4.31 – $9.36 | 3 |
| Cataract Surgery CPT 66984 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $20.48 – $136.73 | 5 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $2,305.88 | $4,192.50 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $1,263.50 | $2,297.28 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $1,241.12 | $2,256.59 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $1,514.78 | $2,754.15 | not published | 0 |
| Catheter declot mechanical CPT 36596 | not published | not published | $1,189.18 – $4,321.00 | 4 |
| Catheter insert artery CPT 36625 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $94.05 | $171.00 | $7.00 – $17.50 | 5 |
| Catheter stripping venous CPT 36595 | $2,756.05 | $5,011.00 | $2,385.29 – $10,498.00 | 4 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $708.32 | $1,287.85 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $188.75 – $4,074.00 | 3 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Cath lt/rt pulm art CPT 36014 | $374.00 | $680.00 | $1,704.00 – $1,704.00 | 1 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,714.03 | $3,116.42 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $473.00 | $860.00 | $1,704.00 – $1,704.00 | 1 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $270.60 | $492.00 | $1,704.00 – $1,704.00 | 1 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $1,189.58 – $1,189.58 | 1 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $106.26 | $193.20 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $151.57 – $4,074.00 | 4 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| #cbg+cort-cbg CPT 84449 | $75.35 | $137.00 | $13.50 – $143.15 | 5 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $155.48 – $1,210.16 | 5 |
| Cdna analysis for variants CPT 81403 | $1,459.15 | $2,653.00 | $138.90 – $1,039.52 | 5 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $100.51 – $134.01 | 2 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $100.51 – $134.01 | 2 |
| Cebpa gene full sequence CPT 81218 | $1,078.00 | $1,960.00 | $181.42 – $1,923.50 | 5 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $1.20 – $1.59 | 3 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $1.74 – $2.34 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $7.26 – $9.75 | 3 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.29 – $8.06 | 5 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $2.32 – $3.12 | 3 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $82.33 – $199.41 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.71 – $0.91 | 3 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $2.91 – $4.35 | 3 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $71.06 – $730.03 | 5 |
| #celiac hla-dq8 CPT 81383 | $792.55 | $1,441.00 | $81.85 – $867.80 | 5 |
| Cell count body fluid CPT 89050 | $92.95 | $169.00 | $3.54 – $37.60 | 5 |
| Cell count w differential body fluid CPT 89051 | $158.95 | $289.00 | $4.20 – $43.77 | 5 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $9.80 – $55.59 | 5 |
| Cell enumeration & id CPT 86152 | not published | not published | $188.08 – $1,953.81 | 5 |
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.