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 |
|---|---|---|---|---|
| Revise spermatic cord veins CPT 55535 | not published | not published | $4,890.59 – $10,498.00 | 4 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $18,190.00 – $24,224.00 | 2 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $4,814.42 – $16,582.00 | 4 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $8,417.64 – $16,582.00 | 4 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revise thumb tendon CPT 26490 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revise thumb tendon CPT 26496 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revise two eye muscles CPT 67312 | not published | not published | $2,969.94 – $10,498.00 | 4 |
| Revise two eye muscles CPT 67316 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Revise ureter CPT 50727 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Revise ureter CPT 50728 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Revise urine flow CPT 50830 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Revise vag graft open abd CPT 57296 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Revise windpipe scar CPT 31830 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revise wrist joint CPT 25332 | not published | not published | $2,471.80 – $14,543.00 | 4 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Revision of amputation CPT 24935 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of ankle joint CPT 27700 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Revision of big toe CPT 28310 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of bladder neck CPT 52500 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of calf tendon CPT 27687 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revision of cervix CPT 57720 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Revision of cervix CPT 59320 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Revision of circulation CPT 37140 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of circulation CPT 37145 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of circulation CPT 37160 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of circulation CPT 37180 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of collar bone CPT 23480 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of collar bone CPT 23485 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Revision of colostomy CPT 44340 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Revision of cornea CPT 65600 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Revision of eyelid CPT 67880 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Revision of eyelid CPT 67882 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Revision of eyelid CPT 67950 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Revision of eyelid CPT 67961 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Revision of eyelid CPT 67966 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Revision of foot CPT 28116 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revision of foot and ankle CPT 28262 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of foot bones CPT 28737 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revision of foot tendon CPT 28238 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,214.74 – $6,798.00 | 4 |
| Revision of heart chamber CPT 33476 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Revision of heart chamber CPT 33735 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Revision of heart chamber CPT 33736 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Revision of heart chamber CPT 33737 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Revision of hip bone CPT 27147 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Revision of hip bones CPT 27156 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Revision of hip tendon CPT 27097 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Revision of infusion pump CPT 36261 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Revision of iris CPT 66761 | not published | not published | $415.49 – $4,074.00 | 4 |
| Revision of iris CPT 66762 | not published | not published | $415.49 – $4,074.00 | 4 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Revision of knee joint CPT 27441 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Revision of knee joint CPT 27442 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Revision of knee joint CPT 27443 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Revision of knee joint CPT 27446 | not published | not published | $9,698.86 – $24,224.00 | 4 |
| Revision of knee joint CPT 27445 | not published | not published | $16,582.00 – $18,190.00 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,385.29 – $4,321.00 | 4 |
| Revision of lung CPT 32940 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Revision of mitral valve CPT 33420 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Revision of mitral valve CPT 33422 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Revision of neck muscle CPT 21720 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revision of neck muscle CPT 21725 | not published | not published | $534.95 – $4,074.00 | 4 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $4,321.00 – $16,582.00 | 4 |
| Revision of nose CPT 30120 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Revision of nose CPT 30430 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Revision of nose CPT 30435 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revision of nose CPT 30450 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revision of nose CPT 30460 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revision of nose CPT 30462 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revision of pelvis CPT 27158 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Revision of penis CPT 54300 | not published | not published | $2,662.91 – $14,543.00 | 4 |
| Revision of penis CPT 54304 | not published | not published | $2,662.91 – $14,543.00 | 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.