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 |
|---|---|---|---|---|
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $2.32 – $3.09 | 3 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.45 – $0.68 | 3 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $24.49 – $91.72 | 5 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $193.90 – $472.14 | 5 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $19.86 – $47.91 | 5 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $12.43 – $16.55 | 3 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $10.30 – $14.75 | 3 |
| Inj multihance HCPCS A9577 | not published | not published | $2.64 – $3.37 | 3 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $2.62 – $3.31 | 3 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.45 – $0.79 | 3 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $13.35 – $16.10 | 2 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $513.67 – $1,303.22 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $905.30 | $1,646.00 | $526.77 – $4,074.00 | 4 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $70.73 – $178.82 | 5 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $308.70 – $3,232.00 | 4 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $260.37 – $3,232.00 | 4 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $36.04 – $89.76 | 4 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $60.73 – $78.28 | 3 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $23.96 – $95.90 | 5 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $303.71 – $748.26 | 5 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.14 – $7.62 | 5 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $15.74 – $48.78 | 5 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $41.42 – $111.79 | 4 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $53.51 – $141.47 | 5 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $462.53 – $1,071.20 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $75.77 – $189.66 | 5 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $111.71 – $270.78 | 5 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $35.83 – $132.10 | 5 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $6.00 – $100.21 | 5 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $7.30 – $18.50 | 4 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $55.25 – $158.24 | 3 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $14.99 – $19.65 | 2 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.21 – $9.36 | 5 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $2.30 – $2.83 | 3 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $7.20 – $13.21 | 5 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $9,546.08 – $13,754.10 | 3 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $50.95 – $152.19 | 5 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $9.15 – $23.06 | 5 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $2.64 – $6.79 | 5 |
| Inj proc ankle arthr CPT 27648 | $264.55 | $481.00 | $1,704.00 – $1,704.00 | 1 |
| Inj proc elbow arthro CPT 24220 | $264.55 | $481.00 | $1,704.00 – $1,704.00 | 1 |
| Inj proc for lymphang CPT 38790 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | $372.35 | $677.00 | $1,704.00 – $1,704.00 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $264.55 | $481.00 | $1,704.00 – $1,704.00 | 1 |
| Inj proc sialogram CPT 42550 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.96 – $1.65 | 3 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $2.07 – $2.70 | 3 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $1.72 – $4.30 | 5 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.23 – $0.83 | 5 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.03 – $1.44 | 3 |
| Inj retro urethrocysto CPT 51610 | $567.05 | $1,031.00 | $1,704.00 – $1,704.00 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $9.97 – $25.35 | 5 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $25.19 – $54.18 | 3 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $307.10 – $4,074.00 | 4 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $307.10 – $4,074.00 | 4 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $13.67 – $33.90 | 5 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $49.30 – $124.88 | 5 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $307.10 – $4,074.00 | 4 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $27.14 – $35.32 | 3 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $56.10 – $149.02 | 5 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $14.73 – $34.41 | 5 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $268.14 – $662.37 | 5 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $32.01 – $78.02 | 5 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $26.49 – $63.21 | 5 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.56 – $3.63 | 5 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $29.41 – $71.54 | 5 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $284.92 – $682.27 | 5 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.07 – $0.10 | 3 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $0.97 – $2.52 | 3 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.04 – $0.06 | 3 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $3.70 – $23.25 | 3 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $93.20 – $246.38 | 5 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $43.63 – $109.09 | 3 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $123.61 – $295.15 | 5 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $3.76 – $11.10 | 5 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $147.56 – $370.98 | 4 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $14.46 – $34.60 | 5 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $7.82 – $19.31 | 5 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $2,864.95 – $7,168.42 | 4 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $2.28 – $11.29 | 5 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $3.04 – $8.91 | 5 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $19.64 – $47.64 | 5 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $9.15 – $11.90 | 2 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $9.48 – $11.80 | 2 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.25 – $0.25 | 1 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.90 – $2.22 | 3 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $1.31 – $6.72 | 5 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $17.74 – $96.20 | 5 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $359.39 – $883.59 | 5 |
| Inj w/fluor eval cv device CPT 36598 | $947.65 | $1,723.00 | $160.68 – $4,074.00 | 4 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $11.43 – $28.33 | 5 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $35.83 – $91.20 | 5 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $397.42 – $1,011.91 | 5 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $19.25 – $47.65 | 3 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,154.83 – $5,126.30 | 5 |
| Ins cath ren art 1st bi CPT 36252 | $7,311.70 | $13,294.00 | $2,385.29 – $10,498.00 | 4 |
| Ins cath ren art 1st uni CPT 36251 | $4,642.55 | $8,441.00 | $2,385.29 – $10,498.00 | 4 |
| Ins cath ren art 2nd+ bi CPT 36254 | $9,947.30 | $18,086.00 | $2,385.29 – $10,498.00 | 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.