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 |
|---|---|---|---|---|
| Electrolyte panel CPT 80051 | $100.65 | $183.00 | $5.26 – $55.73 | 5 |
| Electron microscopy diagnostic CPT 88348 | $2,300.65 | $4,183.00 | $608.64 – $1,495.94 | 3 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $100.51 – $134.01 | 2 |
| Electrophysiologic study CPT 93624 | not published | not published | $5,892.18 – $16,582.00 | 3 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $5,892.18 – $16,582.00 | 3 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $5,892.18 – $16,582.00 | 3 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $919.78 – $3,232.00 | 3 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $239.64 – $582.91 | 5 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $6.14 – $14.97 | 5 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $144.36 – $352.09 | 5 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Embolization s&i CPT 75894 | $3,348.95 | $6,089.00 | $6,810.90 – $6,810.90 | 1 |
| Embo or occlude vascular arterial s&i CPT 37242 | $7,592.20 | $13,804.00 | $13,848.46 – $24,224.00 | 4 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $7,592.20 | $13,804.00 | $8,720.95 – $24,224.00 | 4 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $7,592.20 | $13,804.00 | $8,720.95 – $24,224.00 | 4 |
| Embo or occlude vascular venous s&i CPT 37241 | $7,592.20 | $13,804.00 | $8,720.95 – $24,224.00 | 4 |
| Embryo hatching CPT 89253 | not published | not published | $128.70 – $171.61 | 2 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $695.80 – $4,074.00 | 4 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $152.73 – $4,074.00 | 4 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $100.51 – $134.01 | 2 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $97.20 – $129.61 | 2 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $100.51 – $134.01 | 2 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $97.20 – $129.61 | 2 |
| Encephalitis, california igg/igm CPT 86651 | $83.60 | $152.00 | $9.89 – $46.24 | 5 |
| Encephalitis, st louis igg/igm CPT 86653 | $83.60 | $152.00 | $9.89 – $46.24 | 5 |
| Encephalitis, western equine igg/igm CPT 86654 | $83.60 | $152.00 | $9.89 – $46.24 | 5 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Endo cath bile duct s&i CPT 74328 | $583.55 | $1,061.00 | $639.95 – $639.95 | 1 |
| Endo cath panc duct s&i CPT 74329 | $487.85 | $887.00 | $513.20 – $513.20 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $230.21 – $4,074.00 | 4 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $695.80 – $4,074.00 | 4 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $2,912.58 – $10,498.00 | 4 |
| Endo cholangiopancreatograph CPT 43262 | $2,312.75 | $4,205.00 | $2,912.58 – $10,498.00 | 4 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $8,030.21 – $16,352.00 | 3 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $3,779.05 – $14,543.00 | 4 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $8,030.21 – $16,352.00 | 3 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Endoscopic pancreatoscopy CPT 43273 | $634.70 | $1,154.00 | $1,704.00 – $1,704.00 | 1 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $702.53 – $4,074.00 | 4 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $9,811.00 – $16,582.00 | 2 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $702.53 – $4,074.00 | 4 |
| Endoscopy of ureter CPT 50951 | not published | not published | $2,662.91 – $4,321.00 | 4 |
| Endoscopy of ureter CPT 50953 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,344.61 – $4,321.00 | 4 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Endovasc prosth delayed 33886 CPT 33886 | $2,925.45 | $5,319.00 | $16,352.00 – $16,352.00 | 1 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $8,720.95 – $24,224.00 | 4 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $27.49 – $69.66 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.75 – $1.08 | 3 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $52.25 | $95.00 | $8.98 – $95.32 | 5 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,912.58 – $10,498.00 | 4 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,449.62 – $10,498.00 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $33.02 – $143.58 | 5 |
| Enzyme histochemistry CPT 88319 | $1,216.60 | $2,212.00 | $340.72 – $811.52 | 3 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $13,711.00 – $38,635.00 | 4 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $13,711.00 – $38,635.00 | 4 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $43.49 – $105.75 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $3,022.80 | $5,496.00 | $1,704.00 – $1,704.00 | 1 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $668.17 – $4,074.00 | 4 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $668.17 – $4,074.00 | 4 |
| Epiglottidectomy CPT 31420 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,836.42 – $14,293.43 | 5 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $919.78 – $3,232.00 | 3 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $4.13 – $4.13 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $2.51 – $2.51 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.10 – $1.10 | 1 |
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.