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 |
|---|---|---|---|---|
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $160.68 – $214.25 | 2 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $5.49 – $7.05 | 3 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Reinforce clavicle CPT 23490 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $3,122.55 – $6,798.00 | 4 |
| Reinforce hip bones CPT 27187 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Reinforce thigh CPT 27495 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Reinforce tibia CPT 27745 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Reinnervate larynx CPT 31590 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $4,321.00 – $24,224.00 | 4 |
| Reinsert ocular implant CPT 65155 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Release encircling material CPT 67115 | not published | not published | $3,122.55 – $9,811.00 | 4 |
| Release eye tissue CPT 67343 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Release facial nerve CPT 69720 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Release facial nerve CPT 69725 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Release facial nerve CPT 69955 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Release finger contracture CPT 26525 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release inner ear canal CPT 69960 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Release knuckle contracture CPT 26520 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release middle ear bone CPT 69650 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Release muscles of hand CPT 26593 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release of eye fluid CPT 67015 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Release of foot tendon CPT 28220 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release of foot tendons CPT 28222 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release of foot tendons CPT 28226 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release of lower leg tendon CPT 27680 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release of lower leg tendons CPT 27681 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release of lung 32220 CPT 32220 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Release of midfoot joint CPT 28260 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,214.74 – $16,582.00 | 4 |
| Release of shoulder ligament CPT 23415 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Release of skull seams CPT 61550 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Release of skull seams CPT 61552 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Release of ureter CPT 50715 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Release of ureter CPT 50722 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Release of ureter CPT 50940 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Release palm contracture CPT 26040 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Release palm contracture CPT 26121 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release palm contracture CPT 26123 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release palm contracture CPT 26125 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release palm & finger tendon CPT 26442 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Release/revise ureter CPT 50725 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $18,190.00 – $24,224.00 | 2 |
| Release thumb contracture CPT 26508 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Relieve bladder contracture CPT 52640 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Relocation of testis(es) CPT 54680 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $211.29 – $4,074.00 | 4 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $211.29 – $4,074.00 | 4 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $5.63 – $12.79 | 5 |
| Rem endovas vena cava filter CPT 37193 | $5,258.55 | $9,561.00 | $2,385.29 – $10,498.00 | 4 |
| Rem interrog evl pm/ldls pm CPT 93294 | $75.90 | $138.00 | not published | 0 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $281.90 – $375.86 | 2 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $5.78 – $7.71 | 2 |
| Removable soft interface le HCPCS K0672 | not published | not published | $78.16 – $104.22 | 2 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Removal allograft pancreas CPT 48556 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $903.99 – $4,321.00 | 4 |
| Removal biliary drg cath CPT 47537 | $1,038.95 | $1,889.00 | $685.17 – $4,074.00 | 4 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,652.20 | $3,004.00 | $473.89 – $4,074.00 | 4 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,362.80 | $4,296.00 | $1,189.18 – $4,074.00 | 4 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $2,445.46 – $7,919.00 | 4 |
| Removal cerclage without anes CPT 59899 | not published | not published | $152.73 – $13,711.00 | 4 |
| Removal cerumen impacted (both sides) CPT 69210 | $238.15 | $433.00 | $44.57 – $4,074.00 | 4 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | not published | not published | $151.57 – $4,074.00 | 3 |
| Removal duct glbldr calculi CPT 47544 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | not published | not published | $685.17 – $4,074.00 | 4 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Removal foreign body foot subcutaneous right CPT 28190 | not published | not published | $534.95 – $4,074.00 | 4 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Removal foreign body mouth CPT 40805 | not published | not published | $407.43 – $4,074.00 | 4 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Removal kidney open complex CPT 50225 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal kidney open radical CPT 50230 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $5,016.25 – $15,466.00 | 4 |
| Removal of adenoids CPT 42830 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of adenoids CPT 42831 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of adenoids CPT 42836 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of anal fissure CPT 46200 | not published | not published | $2,096.85 – $6,798.00 | 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.