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 |
|---|---|---|---|---|
| Galactose transferase test CPT 82776 | not published | not published | $8.80 – $66.74 | 5 |
| Galectin-3 CPT 82777 | not published | not published | $33.19 – $174.88 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Galsulfase injection HCPCS J1458 | not published | not published | $394.48 – $960.46 | 5 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $121.89 – $914.20 | 5 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $36.66 – $92.00 | 5 |
| Gammaglobulin iga CPT 82784 | $152.90 | $278.00 | $6.98 – $73.98 | 5 |
| Gammaglobulin ige CPT 82785 | $16.50 | $30.00 | $12.34 – $130.95 | 5 |
| Gamma glutamyltransferase CPT 82977 | $45.65 | $83.00 | $5.40 – $57.26 | 5 |
| Gammagraft HCPCS Q4111 | not published | not published | $11.02 – $125.35 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $49.70 – $118.69 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $36.76 – $91.26 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $46.53 – $75.28 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $26.32 – $279.04 | 5 |
| Gardner vag dna quant CPT 87512 | not published | not published | $31.32 – $332.03 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.03 – $43.33 | 5 |
| Gastric emptying imag study CPT 78265 | not published | not published | $302.00 – $2,827.08 | 3 |
| Gastric emptying imag study CPT 78266 | not published | not published | $410.18 – $3,383.67 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $281.90 – $1,704.00 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $302.00 – $1,727.27 | 3 |
| Gastrin test CPT 82938 | not published | not published | $13.27 – $140.69 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $302.00 – $1,702.36 | 3 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $281.90 – $1,704.00 | 3 |
| Gastrointestinal repair CPT 43360 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $685.17 – $4,074.00 | 4 |
| Gated heart multiple CPT 78473 | not published | not published | $302.00 – $1,759.36 | 3 |
| Gba gene CPT 81251 | $221.65 | $403.00 | $35.44 – $265.21 | 5 |
| Gel-one HCPCS J7326 | not published | not published | $400.19 – $995.63 | 5 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.44 – $1.24 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $4.32 – $5.62 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $185.53 – $449.57 | 5 |
| General health panel CPT 80050 | $484.00 | $880.00 | $253.68 – $253.68 | 1 |
| Generator barostim neo2 2014 HCPCS C1767 | $30,585.36 | $55,609.75 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,836.42 – $14,293.44 | 5 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,753.24 – $13,646.00 | 5 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,773.40 – $29,369.54 | 5 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,032.46 – $15,819.30 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $3.58 – $4.97 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $172.15 | $313.00 | $12.28 – $130.29 | 5 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $2.86 – $11.44 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $648.73 – $1,704.00 | 3 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $1,025.75 | $1,865.00 | $702.53 – $4,074.00 | 4 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $29.15 | $53.00 | $7.36 – $61.07 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $12.83 – $127.84 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $880.00 | $1,600.00 | $76.70 – $573.98 | 5 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $100.51 – $134.01 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $31.90 | $58.00 | $10.79 – $114.45 | 5 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $188.75 – $4,074.00 | 4 |
| Ghs bladder cath - complex-foley CPT 51703 | $557.15 | $1,013.00 | $97.20 – $4,074.00 | 4 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.62 – $26.96 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $533.25 – $4,074.00 | 4 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,489.95 | $2,709.00 | $2,385.29 – $4,321.00 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $725.45 | $1,319.00 | $188.75 – $4,074.00 | 4 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $249.53 – $332.70 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | $444.40 | $808.00 | $249.53 – $332.70 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | $172.15 | $313.00 | $54.39 – $72.52 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $68.75 | $125.00 | $26.32 – $279.04 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $426.25 | $775.00 | $186.34 – $4,074.00 | 4 |
| Ghs closed reduction ankle dislocation CPT 27840 | $564.85 | $1,027.00 | $186.34 – $4,074.00 | 4 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,106.05 | $2,011.00 | $1,214.74 – $4,321.00 | 4 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $186.34 – $4,074.00 | 4 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,679.05 | $4,871.00 | $1,214.74 – $4,321.00 | 4 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $2,677.07 – $4,321.00 | 4 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $186.34 – $4,074.00 | 4 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,476.20 | $2,684.00 | $1,214.74 – $4,321.00 | 4 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,743.85 | $6,807.00 | $1,214.74 – $4,321.00 | 4 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $186.34 – $4,074.00 | 4 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $348.15 | $633.00 | $186.34 – $4,074.00 | 4 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $272.80 | $496.00 | $337.47 – $4,074.00 | 4 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $240.35 | $437.00 | $100.51 – $4,074.00 | 4 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $272.80 | $496.00 | $337.47 – $4,074.00 | 4 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $272.80 | $496.00 | $100.51 – $4,074.00 | 4 |
| Ghs cricothyroidotomy CPT 31605 | $2,379.85 | $4,327.00 | $178.93 – $4,074.00 | 4 |
| Ghs cutdown placement age 1 and over CPT 36425 | $1,276.00 | $2,320.00 | $337.47 – $4,074.00 | 4 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $100.51 – $4,074.00 | 4 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $129.80 | $236.00 | $11.41 – $46.24 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | $491.15 | $893.00 | $186.34 – $4,074.00 | 4 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $685.17 – $4,074.00 | 4 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $333.30 | $606.00 | $211.29 – $4,074.00 | 4 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $533.25 – $4,074.00 | 4 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $97.20 – $129.61 | 2 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $97.20 – $129.61 | 2 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $307.10 – $4,074.00 | 4 |
| Ghs excision ingrown nail CPT 11765 | $370.15 | $673.00 | $307.10 – $4,074.00 | 4 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $281.60 | $512.00 | $239.78 – $4,074.00 | 4 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.64 – $29.29 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Ghs fb removal - incisional CPT 10121 | $1,893.10 | $3,442.00 | $1,247.68 – $4,321.00 | 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.