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 |
|---|---|---|---|---|
| Echo exam of fetal heart CPT 76826 | $1,099.45 | $1,999.00 | $180.25 – $954.20 | 3 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $78.98 – $367.15 | 3 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $78.98 – $195.48 | 3 |
| Echo exam uterus 76831- CPT 76831 | $994.95 | $1,809.00 | $180.25 – $641.27 | 3 |
| Echograp trans r pros study CPT 76873 | not published | not published | $78.98 – $699.45 | 3 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $184.38 – $184.38 | 1 |
| Echo guide for amniocentesis CPT 76946 | $1,046.10 | $1,902.00 | $101.32 – $101.32 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $163.12 – $1,349.03 | 3 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $425.71 – $425.71 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $450.63 – $450.63 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $477.20 – $477.20 | 1 |
| Echo stress CPT 93350 | $709.50 | $1,290.00 | $412.78 – $550.38 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $412.78 – $550.38 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,009.52 | $1,835.50 | $412.78 – $550.38 | 2 |
| Echo transesophageal CPT 93313 | not published | not published | $412.78 – $550.38 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $412.78 – $550.38 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $412.78 – $550.38 | 2 |
| Echo transthoracic CPT 93303 | $959.20 | $1,744.00 | $412.78 – $550.38 | 2 |
| Echo transthoracic CPT 93304 | $504.35 | $917.00 | $412.78 – $550.38 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $180.25 – $240.33 | 2 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $9.50 – $95.32 | 5 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $33.15 – $85.06 | 4 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $4,642.12 – $12,263.68 | 5 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $62.15 | $113.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $581.90 | $1,058.00 | $281.90 – $375.86 | 2 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $648.73 – $864.97 | 2 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $281.90 – $375.86 | 2 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $636.90 | $1,158.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $706.20 | $1,284.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $611.60 | $1,112.00 | not published | 0 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $281.90 – $375.86 | 2 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $281.90 – $375.86 | 2 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $281.90 – $375.86 | 2 |
| E equine encephalitis igg CPT 86652 | $83.60 | $152.00 | $9.89 – $46.24 | 5 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $24.41 – $61.55 | 5 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $4,586.20 – $9,811.00 | 4 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $7,919.00 – $16,352.00 | 4 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $685.17 – $4,074.00 | 4 |
| Egd guide wire insertion CPT 43248 | not published | not published | $685.17 – $4,074.00 | 4 |
| Egd injection varices CPT 43243 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,449.62 – $10,498.00 | 4 |
| Egd remove foreign body CPT 43247 | not published | not published | $685.17 – $4,074.00 | 4 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd varices ligation CPT 43244 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $2,912.58 – $10,498.00 | 4 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $4,586.20 – $10,498.00 | 4 |
| Egfr gene com variants CPT 81235 | $990.00 | $1,800.00 | $243.44 – $1,923.50 | 5 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $106.15 | $193.00 | $26.32 – $205.00 | 5 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $21.85 – $29.13 | 2 |
| Elbow arthroscopy CPT 29830 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $232.02 – $4,074.00 | 4 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $232.02 – $4,074.00 | 4 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $232.02 – $4,074.00 | 4 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $34.51 – $4,074.00 | 4 |
| Electrocochleography CPT 92584 | not published | not published | $97.20 – $129.61 | 2 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $648.73 – $864.97 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $648.73 – $864.97 | 2 |
| Electroejaculation CPT 55870 | not published | not published | $695.80 – $4,074.00 | 4 |
| Electrogastrography CPT 91132 | not published | not published | $163.12 – $1,704.00 | 3 |
| Electrogastrography w/test CPT 91133 | not published | not published | $100.51 – $1,704.00 | 3 |
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.