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 |
|---|---|---|---|---|
| Shigella antibody CPT 86771 | not published | not published | $18.36 – $89.26 | 5 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Shortening of hand tendon CPT 26479 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Shortening of thigh bone CPT 27465 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $10,498.00 – $16,582.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Shorten radius & ulna CPT 25392 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,873.75 | $5,225.00 | $263.55 – $2,794.44 | 3 |
| Shoulder MRI (with contrast) CPT 73222 | $2,456.30 | $4,466.00 | $592.21 – $2,293.27 | 3 |
| Shoulder MRI (without contrast) CPT 73221 | $2,356.75 | $4,285.00 | $180.25 – $1,296.43 | 3 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Shoulder X-ray CPT 73030 | $339.90 | $618.00 | $65.74 – $148.39 | 3 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,044.37 | $5,535.22 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $78.98 – $585.92 | 3 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Sialidase enzyme assay CPT 87905 | $123.20 | $224.00 | $9.16 – $97.14 | 5 |
| Sialography s&i CPT 70390 | not published | not published | $180.25 – $580.36 | 3 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Sickling rbc CPT 85660 | $108.35 | $197.00 | $4.13 – $43.83 | 5 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $702.53 – $4,074.00 | 4 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $702.53 – $4,321.00 | 4 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $903.99 – $4,321.00 | 4 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $702.53 – $4,074.00 | 4 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $903.99 – $4,321.00 | 4 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $903.99 – $4,321.00 | 4 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $3,232.00 – $9,811.00 | 4 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,096.85 – $4,321.00 | 4 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $903.99 – $4,321.00 | 4 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $702.53 – $4,321.00 | 4 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $903.99 – $4,321.00 | 4 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $702.53 – $4,074.00 | 4 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $44.57 – $59.42 | 2 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $903.99 – $4,321.00 | 4 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $188.75 – $1,704.00 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $207.73 – $258.35 | 3 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $78.98 – $176.08 | 3 |
| Single transfer toe-hand CPT 26553 | not published | not published | $5,481.64 – $14,543.00 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,707.20 | $3,104.00 | $132.50 – $1,092.64 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $1,454.20 | $2,644.00 | $132.50 – $860.03 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $1,044.45 | $1,899.00 | $78.98 – $749.27 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | $2,680.15 | $4,873.00 | $677.27 – $3,180.39 | 3 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $41,949.32 – $106,297.34 | 5 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.65 – $1.96 | 3 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $68.27 – $217.28 | 5 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $206.80 | $376.00 | $137.83 – $137.83 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Skin Biopsy CPT 11102 | $429.55 | $781.00 | $307.10 – $4,074.00 | 4 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,558.69 – $6,798.00 | 4 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $21.85 – $29.13 | 3 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $131.11 – $981.20 | 5 |
| Sleep study attended CPT 95807 | $1,057.10 | $1,922.00 | $281.90 – $375.86 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $3,067.90 | $5,578.00 | $648.73 – $864.97 | 2 |
| Sleep study unattended CPT 95806 | $838.75 | $1,525.00 | not published | 0 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $2,513.83 | $4,570.60 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $44.57 – $59.42 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $12.63 – $133.85 | 5 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy CPT 44382 | not published | not published | $685.17 – $4,074.00 | 4 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,449.62 – $10,498.00 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $685.17 – $4,074.00 | 4 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,449.62 – $4,321.00 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $4,586.20 – $9,811.00 | 4 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 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.