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 |
|---|---|---|---|---|
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,558.69 – $6,798.00 | 4 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $903.99 – $4,321.00 | 4 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $2,471.80 – $14,543.00 | 4 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Excise inferior turbinate CPT 30130 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Excise lesion testis CPT 54512 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excise mandible lesion CPT 21040 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $407.43 – $4,074.00 | 4 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excise pharynx lesion CPT 42808 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Excise sublingual gland CPT 42450 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Excise submaxillary gland CPT 42440 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Excision aural polyp CPT 69540 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $534.95 – $4,074.00 | 4 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $534.95 – $4,074.00 | 4 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Excision breast lesion CPT 19125 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision graft extremity CPT 35903 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Excision gum each quadrant CPT 41820 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Excision of gum flap CPT 41821 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Excision of gum lesion CPT 41822 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Excision of gum lesion CPT 41823 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Excision of gum lesion CPT 41826 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision of gum lesion CPT 41827 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excision of gum lesion CPT 41828 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision of neck cyst CPT 42815 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Excision of rectal lesion CPT 45160 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Excision of rectal stricture CPT 45150 | not published | not published | $903.99 – $4,321.00 | 4 |
| Excision of salivary cyst CPT 42408 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision of skull tumor CPT 61563 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Excision of stomach lesion CPT 43610 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Excision of tongue lesion CPT 41112 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Excision of tongue lesion CPT 41114 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Excision of tonsil tags CPT 42860 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Excision of uvula CPT 42140 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Excision olecranon bursa CPT 24105 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Excision radial head CPT 24130 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $1,247.68 – $6,798.00 | 4 |
| Excis partial tal calc CPT 28120 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $534.95 – $4,074.00 | 4 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $534.95 – $4,074.00 | 4 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $534.95 – $4,074.00 | 4 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $534.95 – $4,074.00 | 4 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $534.95 – $4,074.00 | 4 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $307.10 – $4,074.00 | 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.