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 |
|---|---|---|---|---|
| Colonoscopy w/dilation CPT 44405 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $3,232.00 – $9,811.00 | 4 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,096.85 – $4,321.00 | 4 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $3,232.00 – $9,811.00 | 4 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $903.99 – $4,321.00 | 4 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $3,779.05 – $6,798.00 | 4 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $6,798.00 – $9,811.00 | 2 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $5,601.92 – $16,352.00 | 4 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $5,601.92 – $16,352.00 | 4 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $695.80 – $4,074.00 | 4 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $152.73 – $4,074.00 | 4 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $152.73 – $4,074.00 | 4 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $230.21 – $4,074.00 | 4 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $230.21 – $4,074.00 | 4 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $124.30 | $226.00 | $128.70 – $201.72 | 3 |
| Compatibility test each unit electronic CPT 86923 | $90.20 | $164.00 | $128.70 – $171.61 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $124.30 | $226.00 | $128.70 – $189.75 | 3 |
| Compatibility test incubate CPT 86921 | $99.55 | $181.00 | $128.70 – $171.61 | 3 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $526.77 – $2,672.00 | 3 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $526.77 – $2,672.00 | 3 |
| Complement antigen each component c3 CPT 86160 | $327.25 | $595.00 | $9.00 – $95.45 | 5 |
| Complement fixation each CPT 86171 | not published | not published | $7.51 – $79.63 | 5 |
| Complete removal of vulva CPT 56625 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $188.75 – $1,704.00 | 3 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $859.65 | $1,563.00 | $307.10 – $4,074.00 | 4 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,004.30 | $1,826.00 | $558.33 – $4,074.00 | 4 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $163.12 – $1,704.00 | 3 |
| Compl oph exam general anes CPT 92018 | not published | not published | $1,796.05 – $6,798.00 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $963.60 | $1,752.00 | $558.33 – $4,074.00 | 4 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $963.60 | $1,752.00 | $558.33 – $4,074.00 | 4 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $965.25 | $1,755.00 | $1,704.00 – $1,704.00 | 1 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $748.00 | $1,360.00 | $307.10 – $4,074.00 | 4 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $748.00 | $1,360.00 | $307.10 – $4,074.00 | 4 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $965.25 | $1,755.00 | $1,704.00 – $1,704.00 | 1 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $748.00 | $1,360.00 | $1,704.00 – $1,704.00 | 1 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $859.65 | $1,563.00 | $558.33 – $4,074.00 | 4 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $963.60 | $1,752.00 | $1,704.00 – $1,704.00 | 1 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Comprehensive hearing test CPT 92557 | not published | not published | $97.20 – $129.61 | 2 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $263.55 – $351.40 | 2 |
| Concentration infection agents any type CPT 87015 | $44.00 | $80.00 | $5.01 – $29.72 | 5 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $97.20 – $129.61 | 2 |
| Condylomata destruction 56420 CPT 56420 | $480.70 | $874.00 | $152.73 – $4,074.00 | 4 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Conization of cervix CPT 57520 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $301.13 – $742.41 | 5 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Construction of vagina CPT 57291 | not published | not published | $3,779.05 – $6,798.00 | 4 |
| Construct thumb replacement CPT 26550 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Construct vagina with graft CPT 57292 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $44.57 – $286.68 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $620.40 | $1,128.00 | $198.93 – $811.52 | 3 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $50.05 | $91.00 | $105.05 – $105.05 | 1 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $209.00 | $380.00 | $128.70 – $174.95 | 3 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $235.95 | $429.00 | $39.37 – $282.81 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $461.06 | $838.29 | $28.22 – $586.06 | 3 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $128.70 – $988.46 | 3 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $100.51 – $134.01 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Contour of face bone lesion CPT 21029 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,592.60 | $6,532.00 | $638.52 – $3,180.39 | 3 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $1,347.39 – $3,180.39 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,230.60 | $7,692.00 | $644.06 – $5,604.85 | 3 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $132.50 – $416.99 | 3 |
| Contrast x-ray of ankle CPT 73615 | $506.00 | $920.00 | $263.55 – $591.44 | 3 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $263.55 – $488.83 | 3 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $592.21 – $789.61 | 3 |
| Contrast x-ray of elbow CPT 73085 | $964.70 | $1,754.00 | $263.55 – $530.52 | 3 |
| Contrast x-ray of hip CPT 73525 | $964.70 | $1,754.00 | $263.55 – $563.75 | 3 |
| Contrast x-ray of knee joint CPT 73580 | $543.40 | $988.00 | $263.55 – $671.74 | 3 |
| Contrast x-ray of wrist CPT 73115 | $543.40 | $988.00 | $263.55 – $605.31 | 3 |
| Controller infinity pt dbs HCPCS C1787 | $3,372.34 | $6,131.53 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $523.05 | $951.00 | $100.51 – $4,074.00 | 4 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $178.93 – $4,074.00 | 4 |
| Control of nosebleed ant comp 30903 CPT 30903 | $508.75 | $925.00 | $100.51 – $4,074.00 | 4 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $466.95 | $849.00 | $100.51 – $4,074.00 | 4 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $407.43 – $4,074.00 | 4 |
| Control throat bleeding CPT 42961 | not published | not published | $6,798.00 – $10,498.00 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $2,504.63 – $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.