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 |
|---|---|---|---|---|
| Smear fluorescent and/or acid fast stain CPT 87206 | $91.30 | $166.00 | $4.04 – $42.80 | 5 |
| Smear gram stain CPT 87205 | $150.70 | $274.00 | $3.20 – $33.98 | 5 |
| Smear nasal eosinophil CPT 89190 | $47.85 | $87.00 | $4.34 – $37.77 | 5 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $259.60 | $472.00 | $4.49 – $47.63 | 5 |
| Smear wet mount CPT 87210 | $102.30 | $186.00 | $4.36 – $33.98 | 5 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $226.01 – $1,759.13 | 5 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $138.90 – $1,081.09 | 5 |
| Smpd1 gene common variants CPT 81330 | $221.65 | $403.00 | $35.25 – $263.81 | 5 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $38.30 – $286.66 | 5 |
| Sodium 24 hour urine CPT 84300 | $84.70 | $154.00 | $3.80 – $38.71 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $3.58 – $4.63 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.80 – $2.61 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.90 – $1.35 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.81 – $4.14 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $107.24 – $139.44 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $56.10 | $102.00 | $3.61 – $38.29 | 5 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $65.74 – $87.66 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,008.98 – $5,919.36 | 5 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $896.87 – $5,261.65 | 5 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,466.38 – $14,469.44 | 5 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $784.76 – $4,603.94 | 5 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,242.16 – $13,154.02 | 5 |
| So neo gsap dna mcrstl ins CPT 81457 | $1,501.50 | $2,730.00 | $672.65 – $3,946.23 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $7,919.00 – $7,919.00 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $7,919.00 – $7,919.00 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Special physics consult CPT 77370 | $915.75 | $1,665.00 | $101.54 – $936.25 | 3 |
| Special radiation dosimetry CPT 77331 | $480.70 | $874.00 | $101.54 – $145.63 | 3 |
| Special radiation treatment CPT 77470 | $2,145.00 | $3,900.00 | $374.33 – $556.55 | 3 |
| Special teletx port plan CPT 77321 | $1,105.50 | $2,010.00 | $282.86 – $377.15 | 3 |
| Specific gravity body fluid CPT 84315 | $22.00 | $40.00 | $2.46 – $19.96 | 5 |
| Specimen fat stain CPT 89125 | $47.85 | $87.00 | $4.41 – $34.31 | 5 |
| Speech audiometry complete CPT 92556 | not published | not published | $44.57 – $59.42 | 2 |
| Speech evaluation complex CPT 70371 | not published | not published | $180.25 – $372.70 | 3 |
| Speech recep thresh CPT 92555 | not published | not published | $44.57 – $59.42 | 2 |
| Sperm antibody test CPT 89325 | $79.20 | $144.00 | $8.00 – $84.90 | 5 |
| Sperm evaluation test CPT 89329 | not published | not published | $14.69 – $101.41 | 5 |
| Sperm identification CPT 89257 | not published | not published | $39.37 – $52.49 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $39.37 – $52.49 | 2 |
| Sperm isolation simple CPT 89260 | not published | not published | $39.37 – $52.49 | 2 |
| Sperm washing 58323 CPT 58323 | not published | not published | $152.73 – $4,074.00 | 4 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,096.85 – $7,919.00 | 4 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $7,919.00 – $7,919.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,057.55 | $3,741.00 | $533.25 – $4,074.00 | 4 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $277.20 | $504.00 | $281.90 – $375.86 | 2 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $97.20 – $129.61 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $302.00 – $1,541.72 | 3 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Split blood or products CPT 86985 | $161.15 | $293.00 | $128.70 – $171.61 | 3 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $249.53 – $4,074.00 | 3 |
| Sputum specimen collection CPT 89220 | $136.40 | $248.00 | $91.07 – $171.61 | 3 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $4,321.00 – $16,582.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $4,321.00 – $16,582.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $3,232.00 – $13,711.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $3,232.00 – $4,321.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $131.55 – $1,023.90 | 5 |
| Srs linear based CPT 77372 | not published | not published | $5,564.04 – $8,358.28 | 3 |
| Srs multisource CPT 77371 | not published | not published | $5,564.04 – $9,562.14 | 3 |
| Srs spinal lesion CPT 63620 | not published | not published | $4,321.00 – $16,582.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $3,232.00 – $4,321.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $97.20 – $129.61 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $258.50 | $470.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | not published | not published | $26.32 – $279.04 | 5 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $184.80 | $336.00 | not published | 0 |
| Stem cells total count CPT 86367 | not published | not published | $58.34 – $300.00 | 5 |
| Stenger test pure tone CPT 92565 | not published | not published | $44.57 – $59.42 | 2 |
| Stenger test speech CPT 92577 | not published | not published | $281.90 – $375.86 | 2 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $10,683.75 | $19,425.00 | $13,711.00 – $39,723.00 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $341.74 | $621.35 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $1,819.87 | $3,308.85 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $6,421.25 | $11,675.00 | $16,352.00 – $24,224.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $4,614.50 | $8,390.00 | $16,582.00 – $16,582.00 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $7,723.10 | $14,042.00 | $13,711.00 – $24,224.00 | 2 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $428.08 – $428.08 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $3,302.60 – $3,302.60 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| St evaluate speech sound production CPT 92522 | $258.50 | $470.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $258.50 | $470.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $421.30 | $766.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $410.30 | $746.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $139.70 | $254.00 | $137.83 – $137.83 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,475.17 – $4,321.00 | 4 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $128.70 – $171.61 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $128.70 – $171.61 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $128.70 – $171.61 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $128.70 – $171.61 | 2 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $219.45 | $399.00 | $122.76 – $4,074.00 | 4 |
| Strapping of chest CPT 29200 | $403.15 | $733.00 | $122.76 – $4,074.00 | 4 |
| Strapping of elbow or wrist 29260 CPT 29260 | $387.75 | $705.00 | $44.57 – $4,074.00 | 4 |
| Strapping of hand or finger CPT 29280 | $346.50 | $630.00 | $44.57 – $4,074.00 | 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.