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 |
|---|---|---|---|---|
| Biopsy of cornea CPT 65410 | not published | not published | $1,796.05 – $4,321.00 | 4 |
| Biopsy of epididymis CPT 54800 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Biopsy of heart lining CPT 93505 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $685.17 – $4,074.00 | 4 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $178.93 – $4,074.00 | 4 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $534.95 – $4,074.00 | 4 |
| Biopsy of nerve CPT 64795 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Biopsy of penis CPT 54105 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Biopsy of prostate CPT 55700 | $1,824.35 | $3,317.00 | $3,232.00 – $4,321.00 | 2 |
| Biopsy of prostate CPT 55705 | not published | not published | $2,662.91 – $4,321.00 | 4 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $2,096.85 – $4,321.00 | 4 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,022.45 | $1,859.00 | $534.95 – $4,074.00 | 4 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Biopsy of tear gland CPT 68510 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Biopsy of tear sac CPT 68525 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Biopsy of testis CPT 54500 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Biopsy of testis CPT 54505 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Biopsy of urethra CPT 53200 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $128.70 – $171.61 | 2 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $128.70 – $171.61 | 2 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $2,957.88 – $10,498.00 | 4 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,967.90 | $3,578.00 | $1,247.68 – $4,321.00 | 4 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Biopsy skin incisional single lesion CPT 11106 | $480.70 | $874.00 | $558.33 – $4,074.00 | 4 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $407.43 – $4,074.00 | 4 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $407.43 – $4,074.00 | 4 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Biospy of bladder CPT 53899 | not published | not published | $188.75 – $13,711.00 | 4 |
| Biotinidase - quest CPT 82261 | $266.20 | $484.00 | $12.65 – $114.58 | 5 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $97.20 – $129.61 | 2 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.22 – $0.32 | 3 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | not published | not published | $188.75 – $4,074.00 | 4 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $333.28 – $4,074.00 | 4 |
| Bld prd mix CPT 86965 | $76.45 | $139.00 | $128.70 – $175.76 | 3 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $333.28 – $4,074.00 | 4 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $31.26 – $39.71 | 3 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $129.68 – $310.09 | 5 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $8,720.95 – $24,224.00 | 4 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $281.90 – $375.86 | 2 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $12,940.31 – $39,723.00 | 4 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $12,940.31 – $39,723.00 | 4 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $7,209.76 – $16,352.00 | 3 |
| Blink reflex test CPT 95933 | not published | not published | $44.57 – $59.42 | 2 |
| Blm gene CPT 81209 | $221.65 | $403.00 | $29.48 – $220.64 | 5 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $1,404.81 | $2,554.20 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,795.43 | $5,082.60 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,527.00 | $4,594.55 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $7,985.27 | $14,518.68 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $668.17 – $4,074.00 | 4 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $668.17 – $4,074.00 | 4 |
| Block paracervical nrv CPT 64435 | not published | not published | $533.25 – $4,074.00 | 4 |
| Block plantar digital nerve CPT 64455 | not published | not published | $231.88 – $4,074.00 | 4 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $32.45 | $59.00 | $3.22 – $31.28 | 5 |
| Blood Clotting (PTT) Test CPT 85730 | $77.00 | $140.00 | $4.51 – $47.76 | 5 |
| Blood Count (CBC) Test CPT 85025 | $154.55 | $281.00 | $5.83 – $61.81 | 5 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $90.20 | $164.00 | $4.85 – $51.42 | 5 |
| Blood count spun microhematocrit CPT 85013 | $37.95 | $69.00 | $5.25 – $18.87 | 5 |
| Blood Culture Test CPT 87040 | $332.75 | $605.00 | $7.74 – $82.14 | 5 |
| Blood draw capillary 36416 CPT 36416 | $29.15 | $53.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $306.90 | $558.00 | $59.08 – $225.62 | 5 |
| Blood gases ph venous CPT 82800 | $125.95 | $229.00 | $8.25 – $67.30 | 5 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $48.95 | $89.00 | $11.94 – $126.48 | 5 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $112.20 | $204.00 | $3.17 – $25.86 | 5 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | not published | not published | $3.28 – $25.86 | 5 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $59.95 | $109.00 | $3.99 – $25.86 | 5 |
| Blood smear interpretation CPT 85060 | $39.60 | $72.00 | $142.41 – $142.41 | 1 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $73.15 | $133.00 | $2.85 – $27.33 | 5 |
| Blood split unit HCPCS P9011 | $487.85 | $887.00 | not published | 0 |
| Blood typing abo CPT 86900 | $169.95 | $309.00 | $3.74 – $134.01 | 5 |
| Blood typing ag donor ea ag CPT 86902 | $222.20 | $404.00 | $7.94 – $361.05 | 5 |
| Blood typing patient serum CPT 86904 | not published | not published | $20.43 – $75.64 | 5 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $393.80 | $716.00 | $4.79 – $361.05 | 5 |
| Blood typing rh (d) CPT 86901 | $53.35 | $97.00 | $3.74 – $37.62 | 5 |
| Blood typing rh phenotype complete reference CPT 86906 | $144.10 | $262.00 | $9.69 – $61.60 | 5 |
| Blood volume CPT 78122 | not published | not published | $410.18 – $614.13 | 3 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Bone Density Scan (DEXA) CPT 77080 | not published | not published | $78.98 – $239.77 | 3 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $302.00 – $1,533.43 | 3 |
| Bone/joint imaging ltd area CPT 78300 | $1,313.95 | $2,389.00 | $302.00 – $1,206.69 | 3 |
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.