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 |
|---|---|---|---|---|
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $2,471.80 – $24,224.00 | 4 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $5,481.64 – $24,224.00 | 4 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Amputation of lower leg CPT 27882 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $2,471.80 – $18,190.00 | 4 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Amylase CPT 82150 | $158.40 | $288.00 | $4.86 – $51.54 | 5 |
| Ana ds-dna CPT 86226 | not published | not published | $9.08 – $96.26 | 5 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $106.70 | $194.00 | $137.83 – $137.83 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $97.20 – $1,704.00 | 3 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $188.75 – $1,704.00 | 3 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $140.80 | $256.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $540.10 | $982.00 | $49.27 – $391.29 | 5 |
| Analysis gene f5 leiden variant CPT 81241 | $183.70 | $334.00 | $55.03 – $485.91 | 5 |
| Analysis nerve CPT 88356 | not published | not published | $39.37 – $464.93 | 3 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $44.55 | $81.00 | not published | 0 |
| Analysis tumor CPT 88358 | not published | not published | $128.70 – $220.90 | 3 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $263.45 | $479.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $106.15 | $193.00 | $26.32 – $205.00 | 5 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $11.29 – $119.74 | 5 |
| An cholangiogram percutaneous compl CPT 47531 | $2,699.40 | $4,908.00 | $2,704.78 – $10,498.00 | 4 |
| Androstanediol CPT 82154 | not published | not published | $21.62 – $229.30 | 5 |
| An fluoro guide for cvp CPT 77001 | $503.80 | $916.00 | $398.74 – $398.74 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,616.90 | $4,758.00 | $1,704.00 – $1,704.00 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $4,903.80 | $8,916.00 | $15,466.00 – $16,582.00 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $4,575.45 | $8,319.00 | $15,466.00 – $16,582.00 | 2 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $3,476.00 | $6,320.00 | $16,582.00 – $16,582.00 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $15.39 – $158.26 | 5 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $6,167.70 | $11,214.00 | $16,352.00 – $16,582.00 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $6,379.45 | $11,599.00 | $1,704.00 – $1,704.00 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $3,743.85 | $6,807.00 | $4,299.64 – $16,582.00 | 4 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $2,541.00 | $4,620.00 | $1,704.00 – $1,704.00 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $3,131.70 | $5,694.00 | $4,299.64 – $16,582.00 | 4 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.68 – $0.94 | 3 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Ankle X-ray CPT 73610 | $387.75 | $705.00 | $65.74 – $173.34 | 3 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $232.02 – $4,074.00 | 4 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $152.73 – $203.64 | 2 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Anoscopy CPT 46611 | not published | not published | $702.53 – $4,074.00 | 4 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $903.99 – $4,321.00 | 4 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $903.99 – $4,321.00 | 4 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $903.99 – $4,321.00 | 4 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $702.53 – $4,074.00 | 4 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Antibody CPT 86744 | $129.80 | $236.00 | $11.99 – $46.24 | 5 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $277.20 | $504.00 | $9.66 – $46.24 | 5 |
| Antibody elution rbc reference CPT 86860 | $199.65 | $363.00 | $128.70 – $171.61 | 3 |
| Antibody htlv/hiv confirm test CPT 86689 | $205.15 | $373.00 | $14.51 – $153.94 | 5 |
| Antibody htlv-i CPT 86687 | not published | not published | $6.82 – $66.74 | 5 |
| Antibody htlv-ii CPT 86688 | not published | not published | $10.50 – $111.38 | 5 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $617.10 | $1,122.00 | $13.78 – $146.04 | 5 |
| Antibody id rbc panel CPT 86870 | $149.05 | $271.00 | $233.68 – $361.05 | 3 |
| Antibody influenza virus CPT 86710 | $22.00 | $40.00 | $10.16 – $107.75 | 5 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $9.65 – $46.24 | 5 |
| Antibody screen rbc CPT 86850 | $113.85 | $207.00 | $12.21 – $52.49 | 5 |
| Antibody tetanus CPT 86774 | not published | not published | $11.10 – $117.69 | 5 |
| Antidepressant not specified CPT 80338 | $41.25 | $75.00 | not published | 0 |
| Antigen therapy services CPT 95145 | not published | not published | $35.37 – $47.17 | 2 |
| Antigen therapy services CPT 95146 | not published | not published | $35.37 – $47.17 | 2 |
| Antigen therapy services CPT 95147 | not published | not published | $54.39 – $72.52 | 2 |
| Antigen therapy services CPT 95148 | not published | not published | $54.39 – $72.52 | 2 |
| Antigen therapy services CPT 95149 | not published | not published | $54.39 – $72.52 | 2 |
| Antigen therapy services CPT 95165 | not published | not published | $35.37 – $47.17 | 2 |
| Antigen therapy services CPT 95170 | not published | not published | $35.37 – $47.17 | 2 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.15 – $2.83 | 5 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $0.95 – $2.33 | 5 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $1.84 – $4.66 | 5 |
| Anti mog serum - sendout CPT 86362 | $386.10 | $702.00 | $9.04 – $70.28 | 5 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $67.10 | $122.00 | $9.04 – $70.28 | 5 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $9.04 – $70.28 | 5 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $4,321.00 – $16,582.00 | 2 |
| Antinuclear antibodies CPT 86038 | $123.20 | $224.00 | $9.07 – $82.83 | 5 |
| Antinuclear antibodies titer CPT 86039 | $91.30 | $166.00 | $8.37 – $88.73 | 5 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $12.05 – $46.24 | 5 |
| Antistreptolysin o screen CPT 86063 | $79.75 | $145.00 | $4.33 – $45.87 | 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.