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 |
|---|---|---|---|---|
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $8.06 – $65.73 | 5 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $101.20 | $184.00 | $6.15 – $23.30 | 5 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $10.00 – $79.46 | 5 |
| Hemoglobin plasma CPT 83051 | $27.50 | $50.00 | $5.48 – $27.67 | 5 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $6.75 – $54.76 | 5 |
| Hemoglobin urine CPT 83069 | not published | not published | $2.96 – $31.42 | 5 |
| Hemolysin acid CPT 85475 | not published | not published | $6.65 – $70.58 | 5 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $6.58 – $65.22 | 5 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $9.08 – $96.26 | 5 |
| Hemophilus influenza antibdy CPT 86684 | $129.80 | $236.00 | $11.88 – $125.99 | 5 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $702.53 – $4,074.00 | 4 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,096.85 – $7,919.00 | 4 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $49.21 – $136.16 | 5 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $49.21 – $136.16 | 5 |
| Heparin assay CPT 85520 | $117.70 | $214.00 | $9.82 – $88.85 | 5 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.32 – $0.41 | 3 |
| Heparin neutralization CPT 85525 | $25.30 | $46.00 | $8.88 – $94.16 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.03 – $0.04 | 3 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $9.82 – $112.72 | 5 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Hepatitis a antibody igm CPT 86709 | $185.90 | $338.00 | $8.44 – $89.49 | 5 |
| Hepatitis b core antibody igm CPT 86705 | $161.70 | $294.00 | $8.83 – $93.64 | 5 |
| Hepatitis b core antibody total CPT 86704 | $125.40 | $228.00 | $9.04 – $95.79 | 5 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $102.71 – $270.67 | 5 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $18.99 – $87.93 | 5 |
| Hepatitis b surface antibody CPT 86706 | $330.00 | $600.00 | $8.06 – $85.39 | 5 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $204.09 – $267.43 | 3 |
| Hepatitis c antibody CPT 86803 | $251.35 | $457.00 | $10.70 – $113.47 | 5 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $23.42 – $159.48 | 5 |
| Hepatitis d quantification CPT 87523 | not published | not published | $32.13 – $196.04 | 5 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $29.44 – $279.04 | 5 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $22.35 – $159.48 | 5 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $31.32 – $332.03 | 5 |
| Hepatobiliary system imaging CPT 78226 | $889.35 | $1,617.00 | $302.00 – $2,376.85 | 3 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $107.04 – $140.25 | 3 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $238.41 – $312.40 | 3 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $977.96 – $4,651.04 | 5 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $731.13 – $4,651.04 | 3 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $977.96 – $3,514.75 | 5 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $448.43 – $3,514.75 | 5 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $548.66 – $3,514.75 | 3 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $8.98 – $95.32 | 5 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $8.98 – $95.32 | 5 |
| Herpes simplex type 1 antibody igg CPT 86695 | $53.35 | $97.00 | $9.89 – $104.89 | 5 |
| Herpes simplex type 2 antibody igg CPT 86696 | $53.35 | $97.00 | $14.51 – $153.94 | 5 |
| Herpes simplex virus isolation CPT 87255 | not published | not published | $25.40 – $269.29 | 5 |
| Heterophile antibodies screening CPT 86308 | $248.05 | $451.00 | $3.88 – $41.15 | 5 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $4.85 – $51.42 | 5 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $5.53 – $58.61 | 5 |
| Hexa gene CPT 81255 | $818.95 | $1,489.00 | $38.59 – $288.79 | 5 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $4.87 – $39.40 | 5 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $43.50 – $159.48 | 5 |
| Hhv-6 dna quant CPT 87533 | $505.45 | $919.00 | $31.32 – $332.03 | 5 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,214.74 – $7,919.00 | 4 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Hip X-ray CPT 73502 | $392.70 | $714.00 | $65.74 – $231.48 | 3 |
| Histamine CPT 83088 | $46.20 | $84.00 | $22.15 – $234.83 | 5 |
| Histochemical stains add-on CPT 88314 | $360.80 | $656.00 | $304.79 – $304.79 | 1 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $28.22 – $37.62 | 3 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $18.04 – $140.29 | 5 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $16.44 – $159.48 | 5 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $16.42 – $140.29 | 5 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $16.44 – $159.48 | 5 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $43.96 – $340.63 | 5 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $53.57 – $135.42 | 5 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.34 – $3.37 | 5 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $5.47 – $13.36 | 5 |
| Hizentra injection HCPCS J1559 | not published | not published | $11.16 – $26.83 | 5 |
| Hla class i high defin qual CPT 86832 | not published | not published | $242.81 – $1,008.88 | 5 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $244.35 – $917.18 | 5 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $48.14 – $314.70 | 5 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $48.14 – $236.02 | 5 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $61.41 – $550.30 | 5 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $242.22 – $2,568.09 | 5 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $71.64 – $642.01 | 5 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $268.17 – $2,843.27 | 5 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $303.39 – $1,913.95 | 5 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $259.18 – $2,747.88 | 5 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $301.59 – $3,197.66 | 5 |
| Hla ii typing 1 loc hr CPT 81382 | $878.90 | $1,598.00 | $92.76 – $983.49 | 5 |
| Hla ii typing ag equiv lr CPT 81375 | $297.00 | $540.00 | $165.56 – $1,755.32 | 5 |
| Hla i low res one antigen equiv ea CPT 81374 | $196.90 | $358.00 | $55.75 – $578.49 | 5 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $132.94 – $1,409.46 | 5 |
| Hla i typing complete hr CPT 81379 | not published | not published | $251.54 – $2,666.89 | 5 |
| Hla i typing complete lr CPT 81372 | $591.80 | $1,076.00 | $302.69 – $1,756.55 | 5 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $314.05 | $571.00 | $127.42 – $752.12 | 5 |
| Hla i typing low res one locus ea CPT 81373 | $467.50 | $850.00 | $95.57 – $885.55 | 5 |
| Hla typing a b or c CPT 86813 | not published | not published | $43.50 – $461.17 | 5 |
| Hla typing dr/dq CPT 86816 | not published | not published | $22.63 – $221.52 | 5 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $27.40 – $212.90 | 5 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $82.12 – $638.67 | 5 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.42 – $0.54 | 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.