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 |
|---|---|---|---|---|
| Igk rearrangeabn clonal pop CPT 81264 | $614.90 | $1,118.00 | $129.55 – $1,187.40 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $887.15 | $1,613.00 | $349.53 – $349.53 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $234.30 | $426.00 | $270.78 – $740.21 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $887.15 | $1,613.00 | $128.70 – $390.68 | 3 |
| Ikbkap gene CPT 81260 | $221.65 | $403.00 | $29.48 – $220.64 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Iliac revasc add-on 37222 CPT 37222 | $3,677.85 | $6,687.00 | $16,582.00 – $16,582.00 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $215.70 – $301.94 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $44.65 – $108.34 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $44.57 – $59.42 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $28.22 – $37.62 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $44.57 – $59.42 | 2 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $6,174.51 – $15,466.00 | 4 |
| Immune complex assay CPT 86332 | $386.10 | $702.00 | $18.28 – $193.79 | 5 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $36.98 – $90.81 | 5 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $60.72 – $155.23 | 5 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $35.29 – $91.91 | 5 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $38.50 | $70.00 | $15.61 – $165.48 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $46.75 | $85.00 | $15.61 – $165.48 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $19.18 – $126.61 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $157.85 | $287.00 | $8.98 – $95.25 | 5 |
| Immunodiffusion nes CPT 86329 | $38.50 | $70.00 | $10.54 – $111.66 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $37.40 – $180.43 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $373.45 | $679.00 | $16.76 – $177.70 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $583.55 | $1,061.00 | $243.70 – $243.70 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $409.75 | $745.00 | $128.70 – $308.78 | 3 |
| Immunoglobulin assay CPT 86023 | $358.60 | $652.00 | $9.34 – $99.07 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $100.51 – $134.01 | 2 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $13,245.76 – $17,661.01 | 3 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,321.00 – $16,580.24 | 3 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $3,232.00 – $18,190.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $3,232.00 – $18,190.00 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $478.54 | $870.08 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $13,711.00 – $48,685.00 | 4 |
| Implant eye drug system CPT 67027 | not published | not published | $10,540.63 – $14,543.00 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $337.47 – $4,074.00 | 4 |
| Implant nerve end CPT 64787 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $13,711.00 – $24,224.00 | 4 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $8,417.64 – $16,582.00 | 4 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $4,814.42 – $16,582.00 | 4 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $4,814.42 – $16,582.00 | 4 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $13,711.00 – $48,685.00 | 4 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $9,811.00 – $14,543.00 | 2 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Implant spine infusion pump CPT 62361 | not published | not published | $13,615.95 – $39,723.00 | 4 |
| Implant spine infusion pump CPT 62362 | not published | not published | $13,615.95 – $39,723.00 | 4 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,400.35 – $1,867.13 | 2 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $4,814.42 – $16,582.00 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $9,698.86 – $24,224.00 | 4 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,122.55 – $14,543.00 | 4 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $178.93 – $4,074.00 | 4 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $32.49 – $82.25 | 5 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,833.15 | $3,333.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $942.70 | $1,714.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $3,892.35 | $7,077.00 | not published | 0 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $2,471.80 – $14,543.00 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Incis addl spine segment CPT 22216 | not published | not published | $1,704.00 – $10,498.00 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,475.17 – $4,321.00 | 4 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $753.08 – $4,321.00 | 4 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,475.17 – $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.