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 |
|---|---|---|---|---|
| Repair of eye socket wound CPT 65290 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Repair of eye wound CPT 65270 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Repair of eye wound CPT 65272 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Repair of eye wound CPT 65275 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Repair of eye wound CPT 65280 | not published | not published | $4,019.93 – $9,811.00 | 4 |
| Repair of eye wound CPT 65285 | not published | not published | $4,019.93 – $9,811.00 | 4 |
| Repair of eye wound CPT 65286 | not published | not published | $1,743.42 – $4,321.00 | 4 |
| Repair of eye wound CPT 65273 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Repair of facial nerve CPT 64864 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Repair of facial nerve CPT 64865 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of foot bones CPT 28320 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Repair of foot tendon CPT 28200 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Repair of heart chambers CPT 33670 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of heart damage CPT 33545 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of heart defect CPT 33720 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of heart defects CPT 33665 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of heart defects CPT 33702 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of heart defects CPT 33710 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of humerus CPT 24430 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Repair of imperforated anus CPT 46742 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Repair of kidney wound CPT 50500 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of knee cartilage CPT 27403 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Repair of knee ligament CPT 27405 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of knee ligament CPT 27407 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of knee ligaments CPT 27409 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $2,471.80 – $14,543.00 | 4 |
| Repair of leg nerve CPT 64840 | not published | not published | $6,629.63 – $14,543.00 | 4 |
| Repair of leg tendon each CPT 27658 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of leg tendon each CPT 27659 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of leg tendon each CPT 27665 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of low back nerves CPT 64862 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Repair of lower leg CPT 27725 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Repair of lower leg CPT 27727 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Repair of metatarsals CPT 28322 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Repair of nasal septum CPT 30520 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Repair of penis CPT 54440 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $2,096.85 – $7,919.00 | 4 |
| Repair of rectum CPT 45500 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Repair of rectum CPT 45505 | not published | not published | $2,096.85 – $7,919.00 | 4 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of ruptured uterus CPT 58520 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Repair of shoulder CPT 23420 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of skull & brain CPT 62145 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Repair of sperm duct CPT 55400 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Repair of spinal herniation CPT 63702 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Repair of spinal herniation CPT 63704 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Repair of spinal herniation CPT 63706 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Repair of thigh CPT 27470 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Repair of thigh muscle CPT 27385 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of tibia CPT 27720 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of toe dislocation CPT 28675 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Repair of ureter CPT 50900 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Repair of urethra defect CPT 53275 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Repair of urethra defect CPT 53520 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Repair of urethra injury CPT 53505 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Repair of urethra injury CPT 53510 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Repair of urethra injury CPT 53515 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Repair of urethral lesion CPT 57230 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Repair of web finger CPT 26560 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Repair of web finger CPT 26561 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of web finger CPT 26562 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Repair of windpipe CPT 31750 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Repair of windpipe CPT 31755 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Repair of windpipe defect CPT 31825 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Repair of windpipe injury CPT 31800 | not published | not published | $3,232.00 – $10,498.00 | 2 |
| Repair of windpipe injury CPT 31805 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Repair palate CPT 42182 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Repair palate CPT 42235 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Repair paravag defect lap CPT 57423 | not published | not published | $8,030.21 – $16,582.00 | 4 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $5,601.92 – $16,352.00 | 4 |
| Repair pda by ligation CPT 33820 | not published | not published | $15,466.00 – $38,635.00 | 2 |
| Repair pda div<18 years CPT 33822 | not published | not published | $15,466.00 – $24,224.00 | 2 |
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $15,466.00 – $38,635.00 | 2 |
| Repair penis CPT 54380 | not published | not published | $1,579.16 – $7,919.00 | 4 |
| Repair penis CPT 54385 | not published | not published | $1,579.16 – $7,919.00 | 4 |
| Repair penis and bladder CPT 54390 | not published | not published | $10,498.00 – $14,543.00 | 2 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Repair pm/icd lead sgl CPT 33218 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Repair radius or ulna CPT 25400 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Repair radius & ulna CPT 25415 | 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.