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 |
|---|---|---|---|---|
| Removal of intranasal lesion CPT 30117 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of iris CPT 66605 | not published | not published | $1,743.42 – $14,543.00 | 4 |
| Removal of iris CPT 66625 | not published | not published | $1,743.42 – $4,321.00 | 4 |
| Removal of iris CPT 66630 | not published | not published | $1,743.42 – $4,321.00 | 4 |
| Removal of iris CPT 66635 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Removal of ischial bursa CPT 27060 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Removal of jaw joint CPT 21050 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Removal of kidney & ureter CPT 50234 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of kidney & ureter CPT 50236 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of kneecap CPT 27350 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of knee cartilage CPT 27332 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of knee cartilage CPT 27333 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of knee cyst CPT 27345 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of knee prosthesis CPT 27488 | not published | not published | $9,698.86 – $18,190.00 | 4 |
| Removal of larynx CPT 31360 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of larynx CPT 31365 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of larynx lesion CPT 31300 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $2,816.54 – $10,498.00 | 4 |
| Removal of larynx & pharynx CPT 31390 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of lens lesion CPT 66830 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Removal of lens material CPT 66840 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Removal of lens material CPT 66850 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Removal of lens material CPT 66852 | not published | not published | $3,122.55 – $14,543.00 | 4 |
| Removal of lung extrapleural CPT 32445 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Removal of lung lesion(s) CPT 32140 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $5,016.25 – $15,466.00 | 4 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $6,798.00 – $14,906.00 | 2 |
| Removal of metatarsal CPT 28140 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Removal of nerve lesion CPT 64790 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Removal of nerve lesion CPT 64792 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Removal of nose CPT 30160 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Removal of nose lesion CPT 30124 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Removal of nose lesion CPT 30125 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of ocular implant CPT 65175 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $4,890.59 – $10,498.00 | 4 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $9,811.00 – $14,543.00 | 2 |
| Removal of palm tendon each CPT 26170 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Removal of pancreas CPT 48155 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of pancreas lesion CPT 48120 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of pancreatic duct CPT 48148 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of pancreatic stone CPT 48020 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of pelvic structures CPT 51597 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of pelvis contents CPT 58240 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of penis CPT 54125 | not published | not published | $3,232.00 – $10,498.00 | 2 |
| Removal of pituitary gland CPT 61546 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Removal of pituitary gland CPT 61548 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Removal of prostate CPT 55801 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of prostate CPT 55821 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of prostate CPT 55831 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of rectum CPT 45120 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of rectum and colon CPT 45121 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of rib CPT 21615 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Removal of salivary stone CPT 42340 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Removal of scrotum CPT 55150 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of shunt CPT 49429 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Removal of skin tags each add'l 10 CPT 11201 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Removal of spinal shunt CPT 63746 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Removal of spleen partial CPT 38101 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of stomach CPT 43620 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of stomach CPT 43622 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of stomach partial CPT 43634 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $2,096.85 – $4,321.00 | 4 |
| Removal of tail bone CPT 27080 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of tear gland CPT 68500 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Removal of tear sac CPT 68520 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Removal of tendon for graft CPT 20924 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Removal of tendon lesion CPT 27630 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of testis CPT 54520 | not published | not published | $2,662.91 – $7,919.00 | 4 |
| Removal of testis CPT 54530 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Removal of thyroid CPT 60240 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Removal of thyroid CPT 60252 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Removal of thyroid CPT 60271 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Removal of toe lesions CPT 28092 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Removal of toe lesions CPT 28108 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Removal of tongue CPT 41140 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of upper jaw CPT 31225 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of upper jaw CPT 31230 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of ureter CPT 50650 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of ureter CPT 50660 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of ureter stone CPT 51060 | not published | not published | $1,579.16 – $14,543.00 | 4 |
| Removal of ureter stone CPT 50610 | not published | not published | $10,498.00 – $10,498.00 | 1 |
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.