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 |
|---|---|---|---|---|
| Nerve palsy muscle graft CPT 15841 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nerve surgery CPT 64859 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Nerve teasing preparations CPT 88362 | not published | not published | $608.64 – $827.26 | 3 |
| Neurectomy foot CPT 28055 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Neurectomy hamstring CPT 27325 | not published | not published | $1,475.17 – $4,321.00 | 4 |
| Neurectomy popliteal CPT 27326 | not published | not published | $1,475.17 – $4,321.00 | 4 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $231.88 – $4,074.00 | 4 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $668.17 – $4,074.00 | 4 |
| Neurolysis trigeminal nerve CPT 64600 | $1,218.25 | $2,215.00 | $668.17 – $4,074.00 | 4 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | not published | not published | $97.20 – $129.61 | 2 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $31.60 – $246.22 | 5 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $59.71 – $350.28 | 5 |
| Neutron beam tx complex CPT 77423 | not published | not published | $417.41 – $755.59 | 3 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $193.09 – $1,504.08 | 5 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $197.24 – $1,535.20 | 5 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $6,798.00 – $9,811.00 | 2 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $18.42 – $95.32 | 5 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $32.13 – $340.63 | 5 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.13 – $0.16 | 3 |
| Nikaidoh proc CPT 33782 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $648.73 – $5,664.35 | 3 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Nipple exploration CPT 19110 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $10.21 – $90.54 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | not published | not published | $1.94 – $2.70 | 3 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $25.67 – $62.70 | 5 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $154.13 – $375.53 | 5 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $668.17 – $4,074.00 | 4 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $533.25 – $4,074.00 | 4 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $668.17 – $4,074.00 | 4 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $231.88 – $4,074.00 | 4 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $668.17 – $4,074.00 | 4 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $668.17 – $4,074.00 | 4 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $668.17 – $4,074.00 | 4 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $668.17 – $4,074.00 | 4 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,373.90 | $2,498.00 | $526.77 – $4,074.00 | 4 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Nl removal calculus CPT 50060 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,929.40 | $3,508.00 | $302.00 – $2,393.47 | 3 |
| Nm imaging bone/joint whole body CPT 78306 | $1,628.55 | $2,961.00 | $302.00 – $1,694.05 | 3 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,180.75 | $3,965.00 | $302.00 – $1,466.97 | 3 |
| Nm imaging gastric emptying study CPT 78264 | $1,133.00 | $2,060.00 | $302.00 – $2,401.78 | 3 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,557.60 | $2,832.00 | $302.00 – $2,418.38 | 3 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,645.60 | $2,992.00 | $410.18 – $3,270.11 | 3 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,042.25 | $1,895.00 | $410.18 – $925.89 | 3 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,945.25 | $5,355.00 | $410.18 – $2,277.16 | 3 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $587.40 | $1,068.00 | $302.00 – $1,746.66 | 3 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $176.27 – $382.64 | 3 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $16,352.00 – $48,685.00 | 4 |
| Non-card vasc flow imaging CPT 78445 | $1,248.50 | $2,270.00 | $302.00 – $1,220.53 | 3 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $28.22 – $37.62 | 2 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $28.22 – $37.62 | 2 |
| Non-imaging heart function CPT 78414 | not published | not published | $399.15 – $546.91 | 3 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $263.55 – $351.40 | 2 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $1,607.70 – $3,751.30 | 5 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $21.85 – $29.13 | 2 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $94.01 – $1,589.00 | 5 |
| Npm1 gene CPT 81310 | $990.00 | $1,800.00 | $184.89 – $1,440.51 | 5 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $281.90 – $375.86 | 2 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $13.82 – $18.42 | 2 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $21.11 – $28.15 | 2 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $7.54 – $10.05 | 2 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $221.84 – $1,726.67 | 5 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $7,264.40 | $13,208.00 | $1,350.77 – $10,621.59 | 3 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $5,331.49 – $15,466.00 | 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.