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 |
|---|---|---|---|---|
| Revision of penis CPT 54420 | not published | not published | $2,662.91 – $7,919.00 | 4 |
| Revision of penis CPT 54430 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $2,662.91 – $7,919.00 | 4 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of radius CPT 25355 | not published | not published | $2,471.80 – $14,543.00 | 4 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Revision of scrotum CPT 55175 | not published | not published | $2,662.91 – $14,543.00 | 4 |
| Revision of scrotum CPT 55180 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,580.70 – $14,543.00 | 4 |
| Revision of testis CPT 54660 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Revision of thigh muscles CPT 27430 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of toe CPT 28312 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision of upper arm CPT 24940 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Revision of ureter CPT 50700 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $2,662.91 – $7,919.00 | 4 |
| Revision of urethra CPT 53460 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Revision of urethra CPT 57220 | not published | not published | $3,779.05 – $14,543.00 | 4 |
| Revision of urinary tract CPT 51820 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Revision tips CPT 37183 | not published | not published | $4,299.64 – $24,224.00 | 4 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,698.86 – $16,352.00 | 4 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $94.01 – $2,071.13 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $4,050.52 – $14,543.00 | 4 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,641.10 – $10,498.00 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,641.10 – $10,498.00 | 4 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,641.10 – $10,498.00 | 4 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,641.10 – $10,498.00 | 4 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $13,245.76 – $24,224.00 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $13,245.76 – $24,224.00 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $13,711.00 – $31,081.54 | 3 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $13,245.76 – $18,190.00 | 3 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $8,417.64 – $24,224.00 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | $4,779.50 | $8,690.00 | $16,582.00 – $16,582.00 | 1 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $8.25 – $20.17 | 5 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Rheumatoid factor qualitative CPT 86430 | $132.55 | $241.00 | $4.60 – $45.13 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $48.95 | $89.00 | $4.25 – $45.13 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $4,472.08 – $9,811.00 | 4 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $7.08 – $9.44 | 3 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $34.25 – $52.93 | 3 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $26.84 – $60.79 | 5 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $111.88 – $156.60 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Rib cartilage graft CPT 21230 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.20 – $0.30 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $919.78 – $3,232.00 | 3 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $10.90 – $28.20 | 5 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $8.33 – $20.79 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $54.96 – $144.27 | 5 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $27.29 – $70.23 | 5 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $25.92 – $59.24 | 5 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $13.90 – $68.04 | 5 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $12.12 – $50.36 | 5 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $2,449.09 – $14,543.00 | 4 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $4,321.00 – $16,582.00 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $534.95 – $4,074.00 | 4 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $903.99 – $4,321.00 | 4 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,247.68 – $4,321.00 | 4 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,580.70 – $16,582.00 | 4 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $13,711.00 – $48,685.00 | 4 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $13,711.00 – $48,685.00 | 4 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $13,711.00 – $48,685.00 | 4 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,525.15 | $2,773.00 | $473.89 – $4,074.00 | 4 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $6,251.56 – $16,352.00 | 4 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $2,641.10 – $10,498.00 | 3 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $2,641.10 – $10,498.00 | 3 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $2,641.10 – $10,498.00 | 3 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $13,711.00 – $24,224.00 | 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.