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 |
|---|---|---|---|---|
| Macroscopic exam arthropod CPT 87168 | $123.20 | $224.00 | $3.20 – $33.98 | 5 |
| Macroscopic exam parasite CPT 87169 | $168.85 | $307.00 | $3.23 – $33.98 | 5 |
| Magnesium CPT 83735 | $103.40 | $188.00 | $5.02 – $53.25 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.71 – $0.95 | 3 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $180.25 – $2,398.47 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $9.89 – $104.89 | 5 |
| Male sling procedure CPT 53440 | not published | not published | $9,966.87 – $24,224.00 | 4 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $151.80 | $276.00 | $100.51 – $134.01 | 2 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $241.45 | $439.00 | $100.51 – $134.01 | 2 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Manipulation of spine CPT 22505 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $186.34 – $4,074.00 | 4 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $3.28 – $4.70 | 3 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.80 – $29.60 | 5 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $42.33 – $95.86 | 5 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Mast mod rad CPT 19307 | not published | not published | $5,016.25 – $15,466.00 | 4 |
| Mastoidectomy CPT 69501 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Mastoids complete CPT 70130 | not published | not published | $78.98 – $286.84 | 3 |
| Mastoid surgery revision CPT 69603 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Mastopexy CPT 19316 | not published | not published | $5,016.25 – $15,466.00 | 4 |
| Mast radical CPT 19305 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $5,016.25 – $15,466.00 | 4 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $94.01 – $157.31 | 5 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $31.18 – $125.35 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $26.32 – $279.04 | 5 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $20.47 – $159.48 | 5 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $32.13 – $340.63 | 5 |
| Maxillofacial fixation CPT 21100 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $36.30 | $66.00 | $10.84 – $115.01 | 5 |
| Mayo aathr protein s free CPT 85306 | $86.35 | $157.00 | $11.49 – $113.59 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $86.35 | $157.00 | $11.49 – $113.59 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $360.25 | $655.00 | $28.93 – $225.15 | 5 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $146.85 | $267.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $194.70 | $354.00 | $137.83 – $137.83 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $118.80 | $216.00 | $11.08 – $117.56 | 5 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $344.30 | $626.00 | $137.83 – $137.83 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $49.50 | $90.00 | $10.08 – $106.83 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $19.25 | $35.00 | $11.31 – $119.92 | 5 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $29.70 | $54.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $166.10 | $302.00 | $137.83 – $137.83 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $677.60 | $1,232.00 | $91.22 – $967.16 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $992.75 | $1,805.00 | $68.74 – $728.94 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $524.70 | $954.00 | $102.75 – $799.73 | 5 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $5,079.25 | $9,235.00 | $870.00 – $6,511.03 | 5 |
| Mayo androstenedione CPT 82157 | $62.15 | $113.00 | $21.96 – $232.80 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $23.10 | $42.00 | $10.95 – $116.13 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | $44.00 | $80.00 | $8.11 – $86.00 | 5 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $86.35 | $157.00 | $11.29 – $46.24 | 5 |
| Mayo avwpr vw factor activity CPT 85397 | $271.15 | $493.00 | $23.14 – $182.42 | 5 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $142.45 | $259.00 | $26.32 – $205.00 | 5 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $136.40 | $248.00 | $137.83 – $137.83 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $23.10 | $42.00 | $7.64 – $46.24 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $699.05 | $1,271.00 | $108.63 – $1,151.75 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $125.95 | $229.00 | $160.96 – $1,278.99 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $35.75 | $65.00 | $9.68 – $46.24 | 5 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $338.25 | $615.00 | $137.83 – $137.83 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $136.40 | $248.00 | $9.89 – $46.24 | 5 |
| Mayo brcmg brucella antibody igm CPT 86622 | $71.50 | $130.00 | $6.70 – $46.24 | 5 |
| Mayo c1 esterase inhibitor CPT 83883 | $334.95 | $609.00 | $10.20 – $108.11 | 5 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $333.85 | $607.00 | $137.83 – $137.83 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $59.95 | $109.00 | $12.65 – $114.58 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $178.20 | $324.00 | $20.08 – $212.90 | 5 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $264.00 | $480.00 | $91.66 – $971.88 | 5 |
| Mayo ceruloplasmin CPT 82390 | $16.50 | $30.00 | $8.06 – $85.39 | 5 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $407.00 | $740.00 | $10.59 – $112.32 | 5 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $283.80 | $516.00 | $9.66 – $46.24 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $23.65 | $43.00 | $8.86 – $46.24 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $23.65 | $43.00 | $9.51 – $46.24 | 5 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $245.30 | $446.00 | $87.37 – $396.07 | 5 |
| Mayo chromium CPT 82495 | $23.65 | $43.00 | $15.21 – $57.83 | 5 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $333.85 | $607.00 | $137.83 – $137.83 | 1 |
| Mayo coccidioides antibody CPT 86635 | $35.75 | $65.00 | $8.60 – $46.24 | 5 |
| Mayo cocou cortisone urine CPT 82542 | $517.55 | $941.00 | $18.07 – $143.58 | 5 |
| Mayo cortisol free CPT 82530 | $29.15 | $53.00 | $12.53 – $132.86 | 5 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $114.95 | $209.00 | $31.60 – $246.22 | 5 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $83.60 | $152.00 | $9.09 – $46.24 | 5 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $69.30 | $126.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $166.10 | $302.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $14.55 – $154.26 | 5 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,255.10 | $2,282.00 | $128.70 – $3,230.05 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $38.50 | $70.00 | $9.94 – $99.94 | 5 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $53.35 | $97.00 | $18.95 – $200.93 | 5 |
| Mayo dihydrotestosterone CPT 82642 | $67.10 | $122.00 | $21.96 – $189.88 | 5 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $7.23 – $67.35 | 5 |
| Mayo efpo chloride stool CPT 82438 | $59.95 | $109.00 | $3.75 – $38.86 | 5 |
| Mayo estriol CPT 82677 | $24.75 | $45.00 | $18.14 – $192.29 | 5 |
| Mayo estrone CPT 82679 | $53.35 | $97.00 | $18.71 – $198.47 | 5 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $18.15 | $33.00 | $12.26 – $129.95 | 5 |
| Mayo everolimus therapeutic drug level CPT 80169 | $86.35 | $157.00 | $10.30 – $109.21 | 5 |
| Mayo factor ii CPT 85210 | $74.25 | $135.00 | $9.74 – $46.24 | 5 |
| Mayo factor v CPT 85220 | $63.80 | $116.00 | $13.24 – $140.35 | 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.