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 |
|---|---|---|---|---|
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $7,895.86 – $38,635.00 | 4 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $1,045.63 – $4,321.00 | 4 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $1,045.63 – $4,321.00 | 4 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $473.89 – $4,074.00 | 4 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $13,711.00 – $48,685.00 | 4 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $13,711.00 – $24,224.00 | 4 |
| Ins pq tunnld ip cath w/img CPT 49418 | $3,695.45 | $6,719.00 | $2,704.78 – $10,498.00 | 4 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $8,417.64 – $16,352.00 | 3 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $13,711.00 – $39,723.00 | 4 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $13,711.00 – $39,723.00 | 4 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $7,895.86 – $24,224.00 | 4 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $6,251.56 – $24,224.00 | 4 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $7,895.86 – $24,224.00 | 4 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $13,711.00 – $39,723.00 | 4 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $13,711.00 – $48,685.00 | 4 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $13,711.00 – $39,723.00 | 4 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $3,232.00 – $3,232.00 | 1 |
| Install spinal shunt CPT 63740 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $473.89 – $4,074.00 | 4 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $473.89 – $4,074.00 | 4 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,998.69 – $2,706.23 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $526.77 – $4,074.00 | 4 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $924.65 – $4,321.00 | 3 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $188.75 – $4,074.00 | 4 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $2,255.55 | $4,101.00 | $4,203.64 – $16,582.00 | 4 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,377.65 | $4,323.00 | $2,385.29 – $10,498.00 | 4 |
| Ins tun intraperit dia cath CPT 49421 | $2,513.50 | $4,570.00 | $2,704.78 – $10,498.00 | 4 |
| Inst via cath agent pleurds CPT 32560 | $885.50 | $1,610.00 | $473.89 – $4,074.00 | 4 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $3.61 – $6.15 | 3 |
| Insulin suppression panel CPT 80432 | not published | not published | $124.21 – $454.45 | 5 |
| Insulin tolerance panel CPT 80434 | not published | not published | $213.77 – $804.53 | 5 |
| Insulin tolerance panel CPT 80435 | not published | not published | $77.25 – $819.18 | 5 |
| Insulin total CPT 83525 | $16.50 | $30.00 | $8.57 – $90.90 | 5 |
| Ins vag brachytx device CPT 57156 | not published | not published | $230.21 – $4,074.00 | 4 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $2,166.81 – $2,961.13 | 3 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $97.38 – $129.84 | 2 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $97.38 – $129.84 | 2 |
| Intercalary algrft compl CPT 20934 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Interdiscal perq aspir dx CPT 62267 | $1,783.65 | $3,243.00 | $534.95 – $4,074.00 | 4 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $102.90 – $102.90 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $17.59 – $22.03 | 3 |
| Intermediate visual field xm CPT 92082 | not published | not published | $44.57 – $59.42 | 2 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $71.82 – $1,704.00 | 3 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $21.85 – $29.13 | 2 |
| Interrog evl pm/ldls pm ip CPT 93288 | $77.00 | $140.00 | not published | 0 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Intra-atrial pacing CPT 93610 | not published | not published | $3,232.00 – $7,856.24 | 3 |
| Intra-atrial recording CPT 93602 | not published | not published | $3,232.00 – $7,856.24 | 3 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Intracranial angioplasty CPT 61630 | $12,262.80 | $22,296.00 | $18,190.00 – $18,190.00 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $180.25 – $240.33 | 2 |
| Intracranial limited study CPT 93888 | $314.60 | $572.00 | $78.98 – $105.30 | 2 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Intranasal reconstruction CPT 30620 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $407.43 – $4,074.00 | 4 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $65.74 – $87.66 | 2 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $165.42 – $220.57 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $333.28 – $4,074.00 | 4 |
| Intraventricular pacing CPT 93612 | not published | not published | $3,232.00 – $7,856.24 | 3 |
| Intrinsic factor antibody CPT 86340 | $43.45 | $79.00 | $11.31 – $80.71 | 5 |
| Intro cath dialysis circuit CPT 36901 | $1,758.35 | $3,197.00 | $1,189.18 – $4,321.00 | 4 |
| Intro cath dialysis circuit w/pta CPT 36902 | $4,592.50 | $8,350.00 | $4,299.64 – $16,582.00 | 4 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $6,494.40 | $11,808.00 | $8,720.95 – $24,224.00 | 4 |
| Intro catheter aorta CPT 36200 | $617.65 | $1,123.00 | $1,704.00 – $1,704.00 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Intro long gi tube CPT 44500 | $1,482.80 | $2,696.00 | $685.17 – $4,074.00 | 4 |
| Intro long gi tube w/mult fluo CPT 74340 | $1,070.30 | $1,946.00 | $626.12 – $626.12 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,344.61 – $4,321.00 | 4 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $900.35 | $1,637.00 | $178.93 – $4,074.00 | 4 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $44.57 – $59.42 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.59 – $0.85 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.20 – $0.29 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $2,549.23 – $2,549.23 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $142.82 – $348.49 | 5 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.52 – $0.75 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.38 – $3.64 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $49.40 – $123.98 | 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.