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 |
|---|---|---|---|---|
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Aspa gene CPT 81200 | $221.65 | $403.00 | $35.44 – $265.21 | 5 |
| Asp core fat pad CPT 17999 | not published | not published | $151.57 – $13,711.00 | 4 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $534.95 – $4,074.00 | 4 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $473.89 – $13,711.00 | 4 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,828.20 | $3,324.00 | $1,579.16 – $6,798.00 | 4 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | not published | not published | $231.88 – $4,074.00 | 4 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,604.90 | $2,918.00 | $473.89 – $4,074.00 | 4 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,409.65 | $2,563.00 | $534.95 – $4,074.00 | 4 |
| Aspiration orbital contents CPT 67415 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $178.93 – $13,711.00 | 4 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | not published | not published | $534.95 – $4,074.00 | 4 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $668.17 – $4,074.00 | 4 |
| Assay acid phosphatase CPT 84060 | not published | not published | $5.73 – $58.72 | 5 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $6.20 – $58.08 | 5 |
| Assay blood catecholamines CPT 82383 | not published | not published | $21.81 – $199.31 | 5 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $15.49 – $164.22 | 5 |
| Assay dir meas fr estradiol CPT 82681 | $337.70 | $614.00 | $20.96 – $163.10 | 5 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $5.40 – $59.72 | 5 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $16.99 – $180.10 | 5 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $5.53 – $58.61 | 5 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $38.14 – $269.93 | 5 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $87.17 – $116.23 | 2 |
| Assay of adp & amp CPT 82030 | not published | not published | $19.35 – $205.13 | 5 |
| Assay of androsterone CPT 82160 | not published | not published | $19.16 – $198.81 | 5 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $9.56 – $92.53 | 5 |
| Assay of bradykinin CPT 82286 | not published | not published | $3.87 – $54.76 | 5 |
| Assay of breath ethanol CPT 82075 | $39.60 | $72.00 | $22.50 – $95.79 | 5 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $13.54 – $136.12 | 5 |
| Assay of chloramphenicol CPT 82415 | $130.90 | $238.00 | $9.50 – $100.74 | 5 |
| Assay of corticosterone CPT 82528 | not published | not published | $16.89 – $179.05 | 5 |
| Assay of digoxin free CPT 80163 | not published | not published | $9.96 – $105.60 | 5 |
| Assay of endocrine hormone CPT 84235 | $67.10 | $122.00 | $53.42 – $414.23 | 5 |
| Assay of estrogen CPT 84233 | not published | not published | $65.91 – $512.19 | 5 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $19.68 – $187.50 | 5 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $7.45 – $60.41 | 5 |
| Assay of feces porphyrins CPT 84126 | $280.50 | $510.00 | $29.33 – $202.58 | 5 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $12.60 – $99.23 | 5 |
| Assay of fluoride CPT 82735 | not published | not published | $13.90 – $147.39 | 5 |
| Assay of galactose CPT 82760 | not published | not published | $8.40 – $89.01 | 5 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $9.86 – $61.40 | 5 |
| Assay of glucosidase CPT 82963 | not published | not published | $16.11 – $170.86 | 5 |
| Assay of glutathione CPT 82978 | not published | not published | $11.59 – $113.36 | 5 |
| Assay of haptoglobins CPT 83012 | not published | not published | $20.17 – $136.73 | 5 |
| Assay of idh enzyme CPT 83570 | not published | not published | $6.64 – $70.35 | 5 |
| Assay of interleukin-6 (il-6) CPT 83529 | $104.50 | $190.00 | $12.95 – $100.72 | 5 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $14.86 – $126.48 | 5 |
| Assay of lap enzyme CPT 83670 | $48.40 | $88.00 | $7.36 – $72.86 | 5 |
| Assay of leflunomide CPT 80193 | $120.45 | $219.00 | $28.93 – $225.15 | 5 |
| Assay of lrh hormone CPT 83727 | not published | not published | $12.89 – $136.73 | 5 |
| Assay of methemalbumin CPT 83857 | not published | not published | $8.06 – $85.39 | 5 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $4.85 – $51.42 | 5 |
| Assay of osteocalcin CPT 83937 | $80.85 | $147.00 | $22.39 – $237.35 | 5 |
| Assay of phenylketones CPT 84035 | not published | not published | $2.98 – $29.13 | 5 |
| Assay of pregnanediol CPT 84135 | not published | not published | $15.95 – $152.13 | 5 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $15.79 – $150.54 | 5 |
| Assay of procainamide w/metab CPT 80192 | $27.50 | $50.00 | $12.56 – $133.22 | 5 |
| Assay of progesterone CPT 84234 | not published | not published | $48.66 – $515.90 | 5 |
| Assay of prostaglandin CPT 84150 | $574.20 | $1,044.00 | $31.33 – $198.47 | 5 |
| Assay of PSA complexed CPT 84152 | not published | not published | $13.79 – $146.29 | 5 |
| Assay of quinine CPT 84228 | not published | not published | $8.72 – $92.53 | 5 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $7.08 – $53.59 | 5 |
| Assay of salicylate CPT 80179 | $210.65 | $383.00 | $13.98 – $108.82 | 5 |
| Assay of semen fructose CPT 82757 | not published | not published | $13.00 – $49.57 | 5 |
| Assay of sialic acid CPT 84275 | not published | not published | $10.08 – $106.83 | 5 |
| Assay of silica CPT 84285 | not published | not published | $18.91 – $187.21 | 5 |
| Assay of somatostatin CPT 84307 | $187.55 | $341.00 | $13.71 – $70.58 | 5 |
| Assay of thiocyanate CPT 84430 | $112.20 | $204.00 | $8.72 – $92.53 | 5 |
| Assay of troponin qual CPT 84512 | not published | not published | $7.57 – $61.24 | 5 |
| Assay of tyrosine CPT 84510 | $101.75 | $185.00 | $7.97 – $82.71 | 5 |
| Assay of urine sulfate CPT 84392 | $16.50 | $30.00 | $4.12 – $37.77 | 5 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $7.16 – $56.38 | 5 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $4.54 – $39.98 | 5 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $12.39 – $131.33 | 5 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $8.05 – $82.14 | 5 |
| Assay rbc glutathione CPT 82979 | not published | not published | $7.08 – $54.76 | 5 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $14.80 – $157.02 | 5 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $226.60 | $412.00 | not published | 0 |
| Assess cyst contrast inject CPT 49424 | $264.00 | $480.00 | $1,704.00 – $1,704.00 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $44.00 | $80.00 | $3.20 – $33.98 | 5 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $97.20 – $129.61 | 2 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $608.64 – $811.52 | 2 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $128.70 – $171.61 | 2 |
| Ast/sgot CPT 84450 | $45.65 | $83.00 | $3.88 – $41.15 | 5 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $72.41 – $172.94 | 5 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $8,222.50 | $14,950.00 | $16,352.00 – $24,224.00 | 2 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $10,632.60 | $19,332.00 | $13,711.00 – $24,224.00 | 2 |
| Atomic absorption CPT 82190 | not published | not published | $11.92 – $97.19 | 5 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.13 – $0.20 | 3 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $6,798.00 – $10,498.00 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $3,779.05 – $10,498.00 | 4 |
| Attach ocular implant CPT 65140 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $47.30 | $86.00 | not published | 0 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $97.20 – $129.61 | 2 |
| Audiometry air + bone CPT 92553 | not published | not published | $97.20 – $129.61 | 2 |
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.