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 |
|---|---|---|---|---|
| Reconstruct cleft palate CPT 42200 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $13,245.76 – $24,224.00 | 4 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Reconstruct extra finger CPT 26587 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Reconstruct finger joint CPT 26548 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Reconstruct head of radius CPT 24365 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Reconstruct head of radius CPT 24366 | not published | not published | $9,698.86 – $24,224.00 | 4 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $13,245.76 – $18,190.00 | 4 |
| Reconstruction knee CPT 27427 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Reconstruction knee CPT 27428 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Reconstruction knee CPT 27429 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Reconstruction of jaw CPT 21245 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of jaw CPT 21246 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of jaw CPT 21248 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of jaw CPT 21249 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $13,711.00 – $27,330.85 | 4 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of midface CPT 21188 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of mouth CPT 40840 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Reconstruction of mouth CPT 40842 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Reconstruction of mouth CPT 40843 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Reconstruction of mouth CPT 40844 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of mouth CPT 40845 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Reconstruction of nose CPT 30410 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of nose CPT 30420 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of orbit CPT 21256 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruction of throat CPT 42950 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Reconstruction of urethra CPT 53410 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Reconstruction of urethra CPT 53415 | not published | not published | $9,811.00 – $14,543.00 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Reconstruction of urethra CPT 54308 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Reconstruction of urethra CPT 54312 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Reconstruction of urethra CPT 54316 | not published | not published | $7,151.35 – $9,811.00 | 4 |
| Reconstruction of urethra CPT 54318 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Reconstruction of urethra CPT 54322 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Reconstruction of urethra CPT 54324 | not published | not published | $2,662.91 – $14,543.00 | 4 |
| Reconstruction of urethra CPT 54326 | not published | not published | $2,662.91 – $7,919.00 | 4 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $9,698.86 – $24,224.00 | 4 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $13,245.76 – $24,224.00 | 4 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Reconstruct windpipe CPT 31780 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Reconstruct windpipe CPT 31781 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Rectal sensation test CPT 91120 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Red blood cells each unit HCPCS P9021 | $439.45 | $799.00 | not published | 0 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $583.00 | $1,060.00 | not published | 0 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $535.70 | $974.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $439.45 | $799.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $487.30 | $886.00 | $199.06 – $265.41 | 2 |
| Red blood cells washed each unit HCPCS P9022 | $551.65 | $1,003.00 | not published | 0 |
| Red cell mass multiple CPT 78121 | not published | not published | $410.18 – $688.88 | 3 |
| Red cell mass single CPT 78120 | not published | not published | $302.00 – $658.41 | 3 |
| Red cell sequestration CPT 78140 | not published | not published | $302.00 – $849.48 | 3 |
| Red cell survival study CPT 78130 | not published | not published | $302.00 – $1,111.41 | 3 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Reduce testis torsion CPT 54600 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Reduction of facial bones CPT 21209 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $702.53 – $4,074.00 | 4 |
| Reduction of skull defect CPT 62115 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Reduction of skull defect CPT 62117 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Re-explore parathyroids CPT 60502 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $231.88 – $1,704.00 | 3 |
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.