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 |
|---|---|---|---|---|
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $5,331.49 – $15,466.00 | 4 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $2,816.54 – $10,498.00 | 4 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $4,472.08 – $9,811.00 | 3 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $4,472.08 – $9,811.00 | 3 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,344.61 – $6,798.00 | 4 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $155.48 – $1,210.16 | 5 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $155.48 – $1,210.16 | 5 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $155.48 – $1,210.16 | 5 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $388.71 – $3,025.45 | 5 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,857.35 | $3,377.00 | $2,681.44 – $2,681.44 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,732.50 | $3,150.00 | $2,676.51 – $2,676.51 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $302.00 – $1,237.13 | 3 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $16.34 – $127.03 | 5 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $176.27 – $727.44 | 3 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $176.27 – $392.08 | 3 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $176.27 – $454.64 | 3 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $176.27 – $372.70 | 3 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,477.20 | $4,504.00 | $978.03 – $3,177.63 | 3 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $176.27 – $409.09 | 3 |
| Nudt15 gene common variants CPT 81306 | $218.35 | $397.00 | $218.52 – $1,700.81 | 5 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $94.01 – $1,007.00 | 5 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $63.35 – $149.08 | 5 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $343.75 | $625.00 | $449.89 – $599.85 | 2 |
| Observation per hour HCPCS G0378 | $1.21 | $2.20 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $56.14 – $595.26 | 5 |
| Obstetrics panel CPT 80055 | not published | not published | $35.86 – $380.14 | 5 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $21.85 – $29.13 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $78.98 – $472.38 | 3 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $234.25 – $234.25 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $45.73 – $113.44 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.86 – $1.50 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $156.07 – $403.98 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $415.49 – $4,074.00 | 4 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Ocular reconst transplant CPT 65781 | not published | not published | $4,019.93 – $14,543.00 | 4 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $1.35 – $1.73 | 3 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $4.23 – $5.54 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $34.94 – $77.07 | 5 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $2,904.75 – $22,610.16 | 5 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $1,882.66 – $17,394.68 | 5 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $2,904.75 – $21,739.02 | 5 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $2,904.75 – $22,608.57 | 5 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $2,904.75 – $22,588.77 | 5 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $5,394.75 – $41,989.00 | 5 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,337.00 – $18,246.38 | 5 |
| Oncology colorectal scr CPT 81528 | not published | not published | $381.65 – $2,970.51 | 5 |
| Oncology gynecologic CPT 81535 | not published | not published | $434.60 – $2,055.38 | 5 |
| Oncology gynecologic CPT 81536 | not published | not published | $133.17 – $1,036.50 | 5 |
| Oncology lung CPT 81538 | not published | not published | $2,153.25 – $12,415.03 | 5 |
| Oncology prostate prob score CPT 81539 | $1,754.50 | $3,190.00 | $570.00 – $3,514.75 | 5 |
| Oncology tissue of origin CPT 81504 | not published | not published | $390.00 – $2,918.74 | 5 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $2,812.50 – $17,047.19 | 5 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $672.75 – $5,034.84 | 5 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $195.38 – $1,462.18 | 5 |
| Oncoprotein dcp CPT 83951 | not published | not published | $48.31 – $512.19 | 5 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $48.31 – $512.19 | 5 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,522.50 – $11,850.09 | 5 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,904.75 – $6,777.75 | 4 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $2,904.75 – $21,739.02 | 5 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $2,700.00 – $21,014.94 | 5 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $5,832.00 – $45,392.27 | 5 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 3 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.13 – $0.17 | 3 |
| Oocyte identification CPT 89254 | not published | not published | $128.70 – $171.61 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $100.51 – $134.01 | 2 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $1,704.00 – $1,704.00 | 1 |
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.