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 |
|---|---|---|---|---|
| Place gastrostomy tube perc CPT 49440 | $1,944.80 | $3,536.00 | $1,449.62 – $4,321.00 | 4 |
| Placement bile duct support CPT 47801 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | not published | not published | $1,247.68 – $4,074.00 | 4 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,269.40 | $2,308.00 | $534.95 – $4,074.00 | 4 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,873.65 | $7,043.00 | $1,579.16 – $6,798.00 | 4 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $336.60 | $612.00 | $1,704.00 – $1,704.00 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $4,759.70 | $8,654.00 | $8,720.95 – $24,224.00 | 4 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Place needles h&n for right CPT 41019 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Place needles pelvic for right CPT 55920 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,304.10 | $11,462.00 | $2,385.29 – $10,498.00 | 4 |
| Placental lactogen CPT 83632 | not published | not published | $15.16 – $160.77 | 5 |
| Place po breast cath for rad CPT 19296 | not published | not published | $6,174.51 – $16,582.00 | 4 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,045.63 – $4,321.00 | 4 |
| Place slctv cath carotd art uni CPT 36224 | $17,599.45 | $31,999.00 | $4,203.64 – $16,582.00 | 4 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $12,608.20 | $22,924.00 | $2,385.29 – $10,498.00 | 4 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $15,324.10 | $27,862.00 | $4,203.64 – $16,582.00 | 4 |
| Place slctv cath subclavian art CPT 36225 | $13,641.65 | $24,803.00 | $2,385.29 – $10,498.00 | 4 |
| Place slctv cath vertebral art uni CPT 36226 | $17,467.45 | $31,759.00 | $4,203.64 – $16,582.00 | 4 |
| Plasma volume multiple CPT 78111 | not published | not published | $683.33 – $1,304.04 | 3 |
| Plasma volume single CPT 78110 | not published | not published | $675.03 – $1,304.04 | 3 |
| Plastic surgery neck CPT 15819 | not published | not published | $3,232.00 – $4,321.00 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $106.70 | $194.00 | $18.68 – $170.86 | 5 |
| Platelet automated CPT 85049 | $22.00 | $40.00 | $3.36 – $35.61 | 5 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $333.28 – $4,074.00 | 4 |
| Platelets each unit HCPCS P9019 | $116.05 | $211.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $999.90 | $1,818.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $400.40 | $728.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $212.30 | $386.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $794.20 | $1,444.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $993.85 | $1,807.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $676.50 | $1,230.00 | $510.46 – $680.61 | 2 |
| Platelet survival CPT 78191 | not published | not published | $302.00 – $1,111.41 | 3 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $218.52 – $1,700.81 | 5 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,223.00 | $5,860.00 | $2,704.78 – $10,498.00 | 4 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,317.05 | $6,031.00 | $1,704.00 – $1,704.00 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,059.70 | $14,654.00 | $2,662.91 – $7,919.00 | 4 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $11,324.50 | $20,590.00 | $2,662.91 – $10,498.00 | 4 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,505.80 | $4,556.00 | $534.95 – $4,074.00 | 4 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $406.45 | $739.00 | $1,704.00 – $1,704.00 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Plerixafor injection HCPCS J2562 | not published | not published | $21.37 – $226.99 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $281.90 – $375.86 | 2 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $4,890.59 – $10,498.00 | 4 |
| Plmt biliary drainage cath CPT 47534 | $4,550.70 | $8,274.00 | $2,704.78 – $10,498.00 | 4 |
| Plmt nephroureteral catheter CPT 50433 | $5,925.15 | $10,773.00 | $2,662.91 – $6,798.00 | 4 |
| Plmt ureteral stent prq CPT 50694 | $9,200.40 | $16,728.00 | $2,662.91 – $10,498.00 | 4 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $155.48 – $2,514.45 | 5 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $568.77 – $4,256.66 | 5 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $577.18 – $4,319.63 | 5 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $34.95 – $296.64 | 5 |
| Pms2 gene dup/delet variants CPT 81319 | $210.23 | $382.24 | $152.62 – $1,292.00 | 5 |
| Pms2 gene full seq analysis CPT 81317 | $696.70 | $1,266.72 | $507.38 – $4,553.95 | 5 |
| Pms2 known familial variants CPT 81318 | not published | not published | $248.25 – $1,076.02 | 5 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $473.89 – $4,074.00 | 4 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $414.55 – $414.55 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $269.50 | $490.00 | $19.55 – $153.89 | 5 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $107.71 – $258.84 | 5 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $648.73 – $864.97 | 2 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $648.73 – $864.97 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,067.90 | $5,578.00 | $648.73 – $864.97 | 2 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $7.88 – $76.29 | 5 |
| Positional change of finger CPT 26555 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Positional nystagmus test CPT 92532 | $259.05 | $471.00 | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $18.75 – $44.32 | 5 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $281.90 – $375.86 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $85.25 | $155.00 | $3.55 – $34.21 | 5 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.19 – $0.32 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.37 – $33.98 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $56.10 | $102.00 | $3.57 – $36.52 | 5 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $102.75 – $799.73 | 5 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $616.17 – $616.17 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $641.85 | $1,167.00 | $552.68 – $552.68 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,941.10 | $10,802.00 | $5,481.64 – $18,190.00 | 4 |
| Pq thr inj ext pse CPT 36002 | $372.90 | $678.00 | $473.89 – $4,074.00 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $289.59 – $738.77 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,359.40 | $6,108.00 | $2,471.80 – $10,498.00 | 4 |
| Pr application of long arm splint CPT 29105 | $407.00 | $740.00 | $122.76 – $4,074.00 | 4 |
| Pr application splint static short arm CPT 29125 | $407.00 | $740.00 | $100.51 – $4,074.00 | 4 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $28.22 – $37.62 | 2 |
| Pr biopsy skin punch single lesion CPT 11104 | $429.55 | $781.00 | $307.10 – $4,074.00 | 4 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $7,919.00 – $18,190.00 | 4 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $31.90 | $58.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,163.80 | $2,116.00 | $4,321.00 – $4,321.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,163.80 | $2,116.00 | $4,321.00 – $4,321.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $2,662.91 – $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.