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 |
|---|---|---|---|---|
| Multifocal erg w/i&r CPT 92274 | not published | not published | $97.20 – $129.61 | 2 |
| Multiple sleep latency test CPT 95805 | $1,782.00 | $3,240.00 | $648.73 – $864.97 | 2 |
| Mumps antibody igg CPT 86735 | $110.00 | $200.00 | $9.79 – $103.72 | 5 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $97.20 – $129.61 | 2 |
| Muscle test larynx CPT 95865 | not published | not published | $100.51 – $134.01 | 2 |
| Muscle transfers CPT 23397 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Mycobacteria dna amp probe CPT 87551 | $834.90 | $1,518.00 | $36.18 – $279.04 | 5 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $15.04 – $159.48 | 5 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $32.13 – $340.63 | 5 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.22 – $0.30 | 3 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.55 – $0.89 | 3 |
| Mycoplasma antibody igm CPT 86738 | $25.30 | $46.00 | $9.93 – $105.32 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,461.35 | $2,657.00 | $131.55 – $1,023.90 | 5 |
| Myelogphy 2/> spine regions CPT 72270 | $2,962.85 | $5,387.00 | $461.30 – $789.61 | 3 |
| Myelography l-s spine CPT 72265 | $3,520.00 | $6,400.00 | $386.54 – $789.61 | 3 |
| Myelography neck spine CPT 72240 | $2,620.75 | $4,765.00 | $400.38 – $789.61 | 3 |
| Myelography thoracic spine CPT 72255 | $1,603.80 | $2,916.00 | $392.08 – $789.61 | 3 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,842.30 | $6,986.00 | $592.21 – $4,074.00 | 4 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,751.00 | $6,820.00 | $592.21 – $4,074.00 | 4 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,133.90 | $5,698.00 | $592.21 – $4,074.00 | 4 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,562.90 | $6,478.00 | $592.21 – $4,074.00 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $323.95 | $589.00 | $8.65 – $91.70 | 5 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,080.24 – $2,879.51 | 3 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,080.24 – $3,074.13 | 3 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $1,146.48 – $4,532.53 | 3 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $1,664.08 – $4,991.06 | 3 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,080.24 – $3,434.33 | 3 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $1,664.08 – $4,281.25 | 3 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $1,080.24 – $3,683.74 | 3 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Myringoplasty CPT 69620 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.11 – $0.11 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $4.47 – $6.68 | 3 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.13 – $0.13 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $3.39 – $8.05 | 5 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $150.79 – $4,074.00 | 4 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $178.93 – $13,711.00 | 4 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,344.61 – $4,321.00 | 4 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,344.61 – $6,798.00 | 4 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $295.47 – $4,074.00 | 4 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,344.61 – $4,321.00 | 4 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $248.60 | $452.00 | not published | 0 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $18.30 – $45.84 | 5 |
| Natriuretic peptide CPT 83880 | $179.85 | $327.00 | $29.44 – $269.93 | 5 |
| Natural killer cells total count CPT 86357 | $303.05 | $551.00 | $28.30 – $300.00 | 5 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| N block inj common digit CPT 64632 | not published | not published | $231.88 – $4,074.00 | 4 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $668.17 – $4,074.00 | 4 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $188.75 – $4,074.00 | 4 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $100.51 – $134.01 | 2 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $21.85 – $4,074.00 | 4 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $21.85 – $4,074.00 | 4 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $44.57 – $59.42 | 2 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,768.80 | $3,216.00 | $132.50 – $1,602.13 | 3 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,667.60 | $3,032.00 | $263.55 – $1,297.55 | 3 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,587.85 | $2,887.00 | $78.98 – $1,009.58 | 3 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,456.30 | $4,466.00 | $263.55 – $2,041.28 | 3 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,251.70 | $4,094.00 | $263.55 – $1,814.22 | 3 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,047.10 | $3,722.00 | $180.25 – $1,150.79 | 3 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,333.65 | $4,243.00 | $263.55 – $3,965.76 | 3 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,138.95 | $3,889.00 | $263.55 – $2,730.78 | 3 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,944.80 | $3,536.00 | $180.25 – $2,578.49 | 3 |
| Neck spine disk surgery CPT 63020 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Neisseria meningitidis CPT 86741 | not published | not published | $9.89 – $46.24 | 5 |
| Nelarabine injection HCPCS J9261 | not published | not published | $49.06 – $138.31 | 5 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $93.89 – $126.06 | 5 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Nephrectomy partial CPT 50240 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Nerve conduction 7-8 studies CPT 95910 | not published | not published | $281.90 – $375.86 | 2 |
| Nerve conduction studies 11-12 CPT 95912 | not published | not published | $281.90 – $375.86 | 2 |
| Nerve conduction studies 13+ CPT 95913 | not published | not published | $281.90 – $375.86 | 2 |
| Nerve conduction studies 9-10 CPT 95911 | not published | not published | $281.90 – $375.86 | 2 |
| Nerve graft add-on CPT 64901 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Nerve graft add-on CPT 64902 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $1,558.69 – $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.