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 |
|---|---|---|---|---|
| Cell function assay w/stim CPT 86352 | $1,008.70 | $1,834.00 | $101.90 – $1,080.35 | 5 |
| Cell marker study CPT 88182 | $626.45 | $1,139.00 | $39.37 – $420.99 | 3 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $22.25 – $54.52 | 5 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $2,471.80 – $14,543.00 | 4 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Cerebrospinal fld flw imag CPT 78645 | $987.80 | $1,796.00 | $410.18 – $2,376.85 | 3 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $2.58 – $8.52 | 5 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $5,016.25 – $16,352.00 | 4 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $61.25 – $149.09 | 5 |
| #cf-97variants CPT 81220 | $246.95 | $449.00 | $417.45 – $3,124.19 | 5 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $326.30 – $2,442.02 | 5 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $126.56 – $947.19 | 5 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $72.92 – $545.69 | 5 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $526.77 – $4,074.00 | 4 |
| Change cystostomy tube simple CPT 51705 | $316.25 | $575.00 | $188.75 – $4,074.00 | 4 |
| Change gastric port open CPT 43888 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Change g-tube to g-j perc CPT 49446 | $1,783.65 | $3,243.00 | $1,449.62 – $4,321.00 | 4 |
| Change nephroureteral cath CPT 50387 | $3,829.65 | $6,963.00 | $1,579.16 – $4,321.00 | 4 |
| Change of ureter tube/stent CPT 50688 | $1,824.35 | $3,317.00 | $1,579.16 – $4,321.00 | 4 |
| Change of windpipe airway 31502 CPT 31502 | $873.95 | $1,589.00 | $178.93 – $4,074.00 | 4 |
| Change stent via transureth CPT 50385 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $128.70 – $1,514.21 | 3 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $151.57 – $4,074.00 | 4 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $307.10 – $4,074.00 | 4 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $307.10 – $4,074.00 | 4 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $558.33 – $4,074.00 | 4 |
| Chemo adm cns w/lmbr punct CPT 96450 | $541.20 | $984.00 | $249.53 – $332.70 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $533.25 – $4,074.00 | 4 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $1,381.05 | $2,511.00 | $1,704.00 – $1,704.00 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $1,381.05 | $2,511.00 | $1,704.00 – $1,704.00 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,381.05 | $2,511.00 | $533.25 – $4,074.00 | 4 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,381.05 | $2,511.00 | $533.25 – $4,074.00 | 4 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $903.99 – $4,321.00 | 4 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $1,569.15 | $2,853.00 | $231.88 – $4,074.00 | 4 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $239.78 – $4,074.00 | 4 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $231.88 – $4,074.00 | 4 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $231.88 – $4,074.00 | 4 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $231.88 – $4,074.00 | 4 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,312.30 | $2,386.00 | $231.88 – $4,074.00 | 4 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $231.88 – $4,074.00 | 4 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,531.20 | $2,784.00 | $533.25 – $4,074.00 | 4 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,548.25 | $2,815.00 | $533.25 – $4,074.00 | 4 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $249.53 – $332.70 | 2 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $35.37 – $47.17 | 2 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $249.53 – $332.70 | 2 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $249.53 – $332.70 | 2 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $160.68 – $214.25 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $54.39 – $72.52 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $11.99 – $127.13 | 5 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $249.53 – $332.70 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $249.53 – $332.70 | 2 |
| Chest 2 vws w oblique CPT 71048 | $466.40 | $848.00 | $78.98 – $198.03 | 3 |
| Chest apical lordotic proj CPT 71047 | $402.05 | $731.00 | $65.74 – $192.47 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,021.80 | $3,676.00 | $132.50 – $1,591.04 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $1,848.00 | $3,360.00 | $132.50 – $1,289.24 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $1,335.95 | $2,429.00 | $78.98 – $995.72 | 3 |
| Chest X-ray CPT 71046 | $367.40 | $668.00 | $65.74 – $150.85 | 3 |
| Chest X-ray (single view) CPT 71045 | $340.45 | $619.00 | $65.74 – $87.66 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | $152.90 | $278.00 | $44.57 – $59.42 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $544.50 | $990.00 | $132.50 – $567.92 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $155.60 – $1,649.69 | 5 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $195.59 – $2,073.72 | 5 |
| Chlamydia culture CPT 87110 | $61.60 | $112.00 | $14.70 – $155.80 | 5 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $8.98 – $95.32 | 5 |
| Chlamydia type CPT 87140 | $57.20 | $104.00 | $4.18 – $36.24 | 5 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $151.68 – $151.68 | 1 |
| Chloride CPT 82435 | $48.95 | $89.00 | $3.45 – $36.52 | 5 |
| Chloride 24 hour urine CPT 82436 | $59.95 | $109.00 | $4.31 – $39.98 | 5 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.06 – $0.07 | 3 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.87 – $1.14 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $47.10 – $111.85 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $42.11 – $56.39 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $249.53 – $332.70 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | $2,699.40 | $4,908.00 | $2,704.78 – $10,498.00 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $939.95 | $1,709.00 | $262.95 – $262.95 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,513.50 | $4,570.00 | $2,704.78 – $10,498.00 | 4 |
| Cholesterol CPT 82465 | $54.45 | $99.00 | $3.26 – $34.55 | 5 |
| Cholesterol body fluid CPT 84999 | $1,262.25 | $2,295.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $131.45 | $239.00 | $10.04 – $106.50 | 5 |
| Cholinesterase CPT 82480 | $17.60 | $32.00 | $5.90 – $62.65 | 5 |
| Chorion biopsy CPT 59015 | $668.25 | $1,215.00 | $695.80 – $4,074.00 | 4 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $26.46 – $36.39 | 3 |
| Chrom analysis CPT 88273 | not published | not published | $26.11 – $255.51 | 5 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $29.25 – $68.25 | 5 |
| Chromatography CPT 83021 | $74.25 | $135.00 | $13.54 – $143.58 | 5 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $8.92 – $94.57 | 5 |
| Chromo high res and frag x - sendout CPT 81243 | $778.25 | $1,415.00 | $42.78 – $320.16 | 5 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $130.24 – $1,322.61 | 5 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $129.88 – $1,377.05 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $491.70 | $894.00 | $94.12 – $991.13 | 5 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $129.88 – $1,183.74 | 5 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $112.72 – $1,195.10 | 5 |
| Chromosome analysis 5 CPT 88261 | $133.65 | $243.00 | $198.26 – $1,405.41 | 5 |
| Chromosome analysis 50-100 CPT 88248 | $26.40 | $48.00 | $129.88 – $1,377.05 | 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.