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 |
|---|---|---|---|---|
| Oscillation chest wall mechanical per session CPT 94669 | $250.25 | $455.00 | $165.42 – $220.57 | 2 |
| Osmolality blood CPT 83930 | $136.40 | $248.00 | $4.96 – $52.60 | 5 |
| Osmolality urine CPT 83935 | $149.05 | $271.00 | $5.12 – $54.24 | 5 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,704.00 – $16,352.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $303.05 | $551.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $157.30 | $286.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $223.30 | $406.00 | not published | 0 |
| Other bone graft microvasc CPT 20962 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $17.35 – $177.86 | 5 |
| Oth resp proc, group HCPCS G0239 | $241.45 | $439.00 | $28.22 – $37.62 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $99.00 | $180.00 | $21.85 – $29.13 | 2 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $80.30 | $146.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $84.70 | $154.00 | not published | 0 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $97.90 | $178.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $92.40 | $168.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $148.50 | $270.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $148.50 | $270.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $92.40 | $168.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $71.50 | $130.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $84.70 | $154.00 | not published | 0 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Ovulation tests CPT 84830 | not published | not published | $9.52 – $79.73 | 5 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.93 – $1.98 | 3 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.07 – $0.17 | 3 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $102.75 – $799.73 | 5 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.19 – $0.20 | 3 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $4.94 – $25.05 | 5 |
| Pad repl cerv collr univ adult HCPCS L0999 | $2,323.70 | $4,224.90 | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $507.38 – $1,651.44 | 5 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $226.01 – $1,759.24 | 5 |
| Palifermin injection HCPCS J2425 | not published | not published | $29.02 – $68.24 | 5 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $94.01 – $677.45 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $11.57 – $28.66 | 5 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.73 – $1.09 | 3 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $20.13 – $23.27 | 3 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $136.64 – $327.84 | 5 |
| Parathormone (pth) intact CPT 83970 | $306.35 | $557.00 | $30.96 – $328.23 | 5 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $410.18 – $2,717.45 | 3 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,191.85 | $2,167.00 | $302.00 – $2,098.30 | 3 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $302.00 – $2,415.60 | 3 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $3,779.05 – $14,543.00 | 4 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $5,016.25 – $15,466.00 | 4 |
| Paricalcitol HCPCS J2501 | not published | not published | $1.17 – $1.67 | 3 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $151.57 – $4,074.00 | 4 |
| Parotid duct diversion CPT 42507 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Parotid duct diversion CPT 42509 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Partial excision of lip CPT 40500 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Partial hip replacement CPT 27125 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Partial hysterectomy CPT 58180 | not published | not published | $7,919.00 – $14,906.00 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $10,498.00 – $16,582.00 | 2 |
| Partial removal donor liver CPT 47140 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Partial removal foot fascia CPT 28060 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Partial removal of bladder CPT 51550 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Partial removal of hand bone CPT 26230 | not published | not published | $2,471.80 – $10,498.00 | 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.