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 ureter stone CPT 50620 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of ureter stone CPT 50630 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Removal of urethra CPT 53210 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Removal of urethra CPT 53215 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Removal of urethra gland CPT 53250 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Removal of urethra gland CPT 53270 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Removal of urethra lesion CPT 53230 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Removal of urethra lesion CPT 53235 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Removal of vein clot CPT 34421 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Removal of vein clot CPT 34471 | not published | not published | $473.89 – $4,074.00 | 4 |
| Removal of vein clot CPT 34401 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of vein clot CPT 34451 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Removal of wrist bone CPT 25210 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of wrist bones CPT 25215 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of wrist lesion CPT 25130 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal prosth radial head CPT 24164 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Removal/replacement ppm generator dual lead system CPT 33228 | not published | not published | $7,895.86 – $24,224.00 | 4 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | not published | not published | $151.57 – $4,074.00 | 4 |
| Removal sutr and stapl no anes CPT 15854 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Removal sutr or stapl no anes CPT 15853 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Removal tunnled intprtnl cath CPT 49422 | $4,766.85 | $8,667.00 | $2,385.29 – $10,498.00 | 4 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | not published | not published | $337.47 – $4,074.00 | 4 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Remove anal fist complex CPT 46280 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove anal fist inter CPT 46275 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove anal fist subq CPT 46270 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove aneurysm sinus CPT 61613 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Remove ankle joint lining CPT 27625 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove ankle joint lining CPT 27626 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Remove bladder/create pouch CPT 51596 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Remove bladder/revise tract CPT 51580 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Remove bladder/revise tract CPT 51590 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Remove bladder/revise tract CPT 51595 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Remove bladder stone CPT 52317 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Remove bladder stone CPT 52318 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Remove blood clot from eye CPT 65930 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Remove brain canal fluid CPT 61050 | not published | not published | $231.88 – $4,074.00 | 4 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $3,232.00 – $4,321.00 | 2 |
| Remove brain electrodes CPT 61535 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Remove brain lining lesion 61512 CPT 61512 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Remove brain tumor w/scope CPT 62164 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Remove cadaver donor kidney CPT 50300 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Remove carotid body lesion CPT 60605 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Remove cartilage for graft CPT 20910 | not published | not published | $558.33 – $4,074.00 | 4 |
| Remove cartilage for graft CPT 20912 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Remove collar bone lesion CPT 23170 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove colloid cyst w/scope CPT 62162 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Remove coronoid process CPT 21070 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $533.25 – $4,074.00 | 4 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $408.69 – $408.69 | 1 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove drug implant HCPCS G0517 | not published | not published | $337.47 – $4,074.00 | 4 |
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Remove electrode/thoracotomy CPT 33237 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove electrode/thoracotomy CPT 33238 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $10,498.00 – $14,543.00 | 2 |
| Remove epididymis lesion CPT 54830 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Remove epididymis lesion CPT 54840 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $897.38 – $897.38 | 1 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove extra spine segment CPT 22103 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Remove extra spine segment CPT 22116 | not published | not published | $1,704.00 – $10,498.00 | 2 |
| Remove eye/attach implant CPT 65105 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Remove eye implant material CPT 67120 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Remove eye implant material CPT 67121 | not published | not published | $1,743.42 – $14,543.00 | 4 |
| Remove eye/insert implant CPT 65103 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Remove eye lesion CPT 65900 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Remove eye lesion CPT 66130 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Remove eyelid lesion CPT 67800 | not published | not published | $239.78 – $4,074.00 | 4 |
| Remove eyelid lesion CPT 67840 | not published | not published | $753.08 – $4,321.00 | 4 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Remove eyelid lesions CPT 67801 | not published | not published | $753.08 – $4,321.00 | 4 |
| Remove eyelid lesions CPT 67805 | not published | not published | $239.78 – $4,074.00 | 4 |
| Remove eye/revise socket CPT 65112 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Remove eye/revise socket CPT 65114 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Remove femur lesion CPT 27355 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove femur lesion/fixation CPT 27358 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $7,919.00 – $16,352.00 | 4 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove finger bone CPT 26185 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove foreign body brain CPT 61570 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Remove foreign body from eye CPT 65235 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Remove foreign body from eye CPT 65260 | not published | not published | $1,704.00 – $4,321.00 | 4 |
| Remove foreign body from eye CPT 65265 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $5,481.64 – $18,190.00 | 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.