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 |
|---|---|---|---|---|
| Remove/graft foot lesion CPT 28107 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $5,016.25 – $15,466.00 | 4 |
| Remove hand bone lesion CPT 26200 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Remove hip bone les deep CPT 27066 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove hip bone les super CPT 27065 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $2,194.34 – $4,321.00 | 4 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Remove humerus lesion CPT 23174 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Remove humerus lesion CPT 23184 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove implant of eye CPT 65920 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Remove inner ear CPT 69905 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove inner ear lesion CPT 69970 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove intact mammary implant CPT 19328 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Remove intestinal allograft CPT 44137 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Remove intra-aortic balloon CPT 33974 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove intracorporeal device CPT 33980 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Remove iris and lesion CPT 66600 | not published | not published | $3,122.55 – $9,811.00 | 4 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove kidney living donor CPT 50320 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove knee cyst CPT 27347 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove knee joint lining CPT 27334 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove knee joint lining CPT 27335 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Remove lung foreign body CPT 32151 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove mastoid air cells CPT 69670 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove mastoid structures CPT 69505 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Remove middle ear nerve CPT 69676 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Remove nasal foreign body CPT 30310 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Remove nasal foreign body CPT 30320 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Remove nerve lesion CPT 64784 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove part lumbar vertebra CPT 22114 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Remove part of temporal bone CPT 69535 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Remove part thorax vertebra CPT 22112 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Remove penis & nodes CPT 54130 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove penis & nodes CPT 54135 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Remove pituit tumor w/scope CPT 62165 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Remove prostate regrowth CPT 52630 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove renal tube w/fluoro CPT 50389 | $542.85 | $987.00 | $526.77 – $4,074.00 | 4 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $13,711.00 – $38,635.00 | 4 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $13,711.00 – $38,635.00 | 4 |
| Remove/revise male sling CPT 53442 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $2,194.34 – $4,321.00 | 4 |
| Remove shoulder foreign body subq 23330 CPT 23330 | not published | not published | $1,247.68 – $4,074.00 | 4 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $2,672.00 – $4,321.00 | 2 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $2,641.10 – $10,498.00 | 4 |
| Remove spine fixation device CPT 22850 | not published | not published | $4,321.00 – $16,582.00 | 4 |
| Remove spine fixation device CPT 22852 | not published | not published | $4,321.00 – $16,582.00 | 4 |
| Remove spine infusion device CPT 62365 | not published | not published | $2,580.70 – $16,582.00 | 4 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Remove spine lamina >2 thrc CPT 63016 | 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.