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 |
|---|---|---|---|---|
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $6,251.56 – $24,224.00 | 4 |
| Rmvl pq iabp CPT 33968 | not published | not published | $10,498.00 – $39,723.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $534.95 – $4,074.00 | 4 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $2,194.34 – $10,498.00 | 4 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $337.47 – $4,074.00 | 4 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $2,823.05 – $10,498.00 | 4 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $4,074.00 – $7,919.00 | 2 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $8,417.64 – $16,352.00 | 3 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $13,711.00 – $31,081.54 | 3 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $2,471.80 – $10,498.00 | 3 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $4,074.00 – $4,074.00 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $14,543.00 – $14,543.00 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $7,919.00 – $7,919.00 | 1 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.60 – $3.00 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $23.03 – $59.04 | 5 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $8.71 – $20.89 | 5 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $9.55 – $22.81 | 5 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.09 – $0.13 | 3 |
| Rotavirus antibody CPT 86759 | not published | not published | $13.67 – $104.89 | 5 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $151.57 – $202.09 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $17.69 – $44.01 | 5 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $849.75 | $1,545.00 | $1,189.18 – $4,321.00 | 4 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $302.00 – $1,782.64 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,883.75 | $3,425.00 | $978.03 – $3,302.08 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,198.35 | $3,997.00 | $1,080.24 – $6,473.84 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,037.85 | $1,887.00 | $1,189.18 – $4,321.00 | 4 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Rpl tun cvc wo subq port CPT 36581 | $2,298.45 | $4,179.00 | $2,385.29 – $10,498.00 | 4 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $4,890.59 – $10,498.00 | 4 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $4,890.59 – $10,498.00 | 4 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $4,890.59 – $10,498.00 | 4 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $4,203.64 – $16,582.00 | 4 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $4,890.59 – $10,498.00 | 4 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,096.85 – $4,321.00 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $44.57 – $59.42 | 2 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $2,704.78 – $10,498.00 | 4 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $15,466.00 – $15,466.00 | 1 |
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.