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 |
|---|---|---|---|---|
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $131.11 – $1,020.45 | 5 |
| Cyp2d6 gene com variants CPT 81226 | $573.65 | $1,043.00 | $338.18 – $2,632.16 | 5 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $131.11 – $981.20 | 5 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $131.11 – $981.20 | 5 |
| Cystatin c CPT 82610 | $45.65 | $83.00 | $13.89 – $108.11 | 5 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $374.25 – $2,800.88 | 5 |
| Cystine urine quantitative CPT 82131 | $101.75 | $185.00 | $17.24 – $134.13 | 5 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $822.80 | $1,496.00 | $165.02 – $351.40 | 3 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $7,151.35 – $16,582.00 | 4 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $7,151.35 – $10,498.00 | 3 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,798.00 – $9,811.00 | 4 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $526.77 – $2,672.00 | 3 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $7,919.00 – $10,498.00 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $6,798.00 – $9,811.00 | 4 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,050.52 – $9,811.00 | 3 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,579.16 – $4,321.00 | 4 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,579.16 – $4,321.00 | 4 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $526.77 – $4,074.00 | 4 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,579.16 – $4,321.00 | 4 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,352.35 | $4,277.00 | $526.77 – $4,074.00 | 4 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,579.16 – $4,321.00 | 4 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $526.77 – $4,074.00 | 4 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy inject material CPT 52327 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,579.16 – $4,321.00 | 4 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,579.16 – $4,321.00 | 4 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,704.00 – $10,498.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,704.00 – $10,498.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $1.17 – $1.53 | 3 |
| Cytogenetics 25-99 CPT 88274 | $181.50 | $330.00 | $31.78 – $276.83 | 5 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $30.52 – $201.41 | 5 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $870.00 – $6,771.95 | 5 |
| Cytogenom microarray copy nmbr var CPT 81228 | $5,079.25 | $9,235.00 | $675.00 – $5,051.66 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $150.70 | $274.00 | $10.79 – $114.45 | 5 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $29.70 | $54.00 | $12.64 – $46.24 | 5 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.06 – $95.32 | 5 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,394.12 – $3,437.94 | 5 |
| Cyto/molecular report CPT 88291 | $460.90 | $838.00 | $183.04 – $183.04 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $19.03 – $169.92 | 5 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $10.99 – $47.63 | 5 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $21.85 – $306.78 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $220.55 | $401.00 | $39.37 – $240.85 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $19.96 – $209.62 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $99.55 | $181.00 | $15.20 – $161.13 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $79.75 | $145.00 | $28.22 – $274.82 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $28.22 – $258.82 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $41.94 – $41.94 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $142.45 | $259.00 | $111.03 – $171.61 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $459.25 | $835.00 | $39.37 – $451.77 | 3 |
| Cytopath smear other source CPT 88160 | $161.70 | $294.00 | $21.85 – $254.84 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $39.37 – $357.90 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $185.90 | $338.00 | $21.85 – $218.89 | 3 |
| Cytopath tbs c/v manual CPT 88164 | $62.70 | $114.00 | $13.90 – $84.01 | 5 |
| Cytotoxic antibody screening CPT 86807 | $481.80 | $876.00 | $58.99 – $314.70 | 5 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $22.26 – $236.02 | 5 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $1,255.10 | $2,282.00 | $128.70 – $2,821.44 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $6.53 – $7.71 | 3 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $230.56 – $600.88 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $8.47 – $29.55 | 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.