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 |
|---|---|---|---|---|
| Prostatectomy (turp) CPT 52601 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Prostate laser enucleation CPT 52649 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,662.91 – $14,543.00 | 4 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $2.03 – $3.11 | 3 |
| Protein analysis w/probe CPT 88372 | not published | not published | $32.78 – $180.82 | 3 |
| Protein c activity CPT 85303 | $77.55 | $141.00 | $10.38 – $110.01 | 5 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.86 – $27.81 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $198.55 | $361.00 | $8.06 – $85.39 | 5 |
| Protein s total CPT 85305 | $31.90 | $58.00 | $8.71 – $92.29 | 5 |
| Protein total 24 hour urine CPT 84156 | $103.40 | $188.00 | $2.75 – $29.19 | 5 |
| Protein total body fluid CPT 84157 | $124.30 | $226.00 | $3.00 – $29.19 | 5 |
| Protein total serum plasma whole blood CPT 84155 | $45.65 | $83.00 | $2.75 – $29.19 | 5 |
| Protein western blot tissue CPT 88371 | not published | not published | $27.79 – $176.71 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $86.90 | $158.00 | $2.96 – $31.36 | 5 |
| Proton treatment complex CPT 77525 | not published | not published | $944.11 – $9,060.52 | 3 |
| Proton trmt intermediate CPT 77523 | not published | not published | $944.11 – $8,189.41 | 3 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $944.11 – $7,049.79 | 3 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $417.41 – $7,030.68 | 3 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.30 – $68.47 | 5 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $13,711.00 – $24,224.00 | 4 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $13,711.00 – $24,224.00 | 4 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $24,224.00 – $24,224.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $16,352.00 – $16,582.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $8,720.95 – $16,582.00 | 4 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $8,720.95 – $16,582.00 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $13,711.00 – $18,464.62 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $4,299.64 – $16,582.00 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $8,720.95 – $24,224.00 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $8,720.95 – $16,582.00 | 4 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $337.47 – $4,074.00 | 4 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $239.25 | $435.00 | $100.51 – $4,074.00 | 4 |
| Pr removal intrauterine device CPT 58301 | $1,093.40 | $1,988.00 | $230.21 – $4,074.00 | 4 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $654.50 | $1,190.00 | $307.10 – $4,074.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $475.75 | $865.00 | $151.57 – $4,074.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $546.70 | $994.00 | $151.57 – $4,074.00 | 4 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $525.80 | $956.00 | $151.57 – $4,074.00 | 4 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $636.90 | $1,158.00 | $151.57 – $4,074.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $333.28 – $4,074.00 | 4 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,041.60 | $3,712.00 | $1,189.18 – $4,321.00 | 4 |
| PSA (Prostate) Test CPT 84153 | $251.90 | $458.00 | $13.79 – $146.29 | 5 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $21.85 – $29.13 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $100.51 – $134.01 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.35 | $157.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $86.35 | $157.00 | not published | 0 |
| Pten gene dup/delet variant CPT 81323 | $990.00 | $1,800.00 | $225.00 – $525.00 | 5 |
| Pten gene full sequence CPT 81321 | $990.00 | $1,800.00 | $450.00 – $3,501.32 | 5 |
| Pten gene known fam variant CPT 81322 | not published | not published | $34.95 – $340.38 | 5 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $308.00 | $560.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $173.80 | $316.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $232.10 | $422.00 | not published | 0 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $17.97 – $23.96 | 2 |
| Pt re-evaluation patient/family CPT 97164 | $109.45 | $199.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $85.80 | $156.00 | $21.80 – $29.07 | 2 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $86.35 | $157.00 | not published | 0 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $8,720.95 – $16,582.00 | 3 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,057.20 – $32,106.16 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Pulmonary vent imaging CPT 78579 | $975.70 | $1,774.00 | $302.00 – $1,311.90 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | $281.05 | $511.00 | $97.20 – $129.61 | 2 |
| Pulse ox multiple CPT 94761 | $214.50 | $390.00 | not published | 0 |
| Pulse ox single CPT 94760 | $48.95 | $89.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $533.25 – $4,074.00 | 4 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $150.70 | $274.00 | $100.51 – $4,074.00 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $516.45 | $939.00 | $307.10 – $4,074.00 | 4 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $973.50 | $1,770.00 | $533.25 – $4,074.00 | 4 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $94.01 – $205.04 | 5 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $94.01 – $134.97 | 5 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $533.25 – $4,074.00 | 4 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $533.25 – $4,074.00 | 4 |
| Pyelotomy complicated CPT 50135 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $18.23 – $29.19 | 3 |
| Pyruvate CPT 84210 | $206.25 | $375.00 | $10.86 – $86.33 | 5 |
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.