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 |
|---|---|---|---|---|
| Strapping of hip CPT 29520 | not published | not published | $100.51 – $4,074.00 | 4 |
| Strapping of knee CPT 29530 | $283.80 | $516.00 | $100.51 – $4,074.00 | 4 |
| Strapping of toes 29550 CPT 29550 | $219.45 | $399.00 | $44.57 – $4,074.00 | 4 |
| Strep a ag ia CPT 87430 | $196.90 | $358.00 | $12.61 – $95.32 | 5 |
| Strep a dna dir probe CPT 87650 | not published | not published | $15.04 – $159.48 | 5 |
| Strep a dna quant CPT 87652 | not published | not published | $31.32 – $332.03 | 5 |
| Strep b assay w/optic CPT 87802 | not published | not published | $9.55 – $95.32 | 5 |
| Strep b dna amp probe CPT 87653 | $82.50 | $150.00 | $26.32 – $279.04 | 5 |
| Streptokinase antibody CPT 86590 | not published | not published | $9.50 – $87.80 | 5 |
| Streptomycin injection HCPCS J3000 | not published | not published | $37.11 – $59.57 | 3 |
| Stress test pulmonary CPT 94618 | $239.80 | $436.00 | $100.51 – $134.01 | 2 |
| Stress tte complete CPT 93351 | not published | not published | $412.78 – $550.38 | 2 |
| Str markers spec anal addl CPT 81266 | not published | not published | $228.61 – $1,710.88 | 5 |
| Str markers specimen anal CPT 81265 | not published | not published | $174.80 – $1,710.03 | 5 |
| St treatment speech individual CPT 92507 | $130.90 | $238.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $158.40 | $288.00 | not published | 0 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $533.25 – $4,074.00 | 4 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $151.57 – $4,074.00 | 4 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $558.33 – $4,074.00 | 4 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Sugars multiple quant CPT 84379 | not published | not published | $8.65 – $91.64 | 5 |
| Sugars single quant CPT 84378 | not published | not published | $8.65 – $91.64 | 5 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.09 – $0.10 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $160.05 | $291.00 | $137.83 – $137.83 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $35.37 – $47.17 | 2 |
| Supprelin la implant HCPCS J9226 | not published | not published | $28,118.98 – $86,564.74 | 5 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,096.85 – $4,321.00 | 4 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,662.91 – $7,919.00 | 4 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $5,481.64 – $10,498.00 | 4 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $4,050.52 – $9,811.00 | 4 |
| Surgical opening esophagus CPT 43351 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $685.17 – $4,074.00 | 4 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,172.13 – $4,321.00 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $69.85 | $127.00 | $21.85 – $59.11 | 3 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $132.55 | $241.00 | $28.22 – $140.99 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $313.50 | $570.00 | $39.37 – $190.93 | 3 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $970.75 | $1,765.00 | $39.37 – $190.93 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $402.60 | $732.00 | $270.78 – $1,250.69 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,010.35 | $1,837.00 | $608.64 – $1,775.19 | 3 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,096.85 – $6,798.00 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | $198.00 | $360.00 | $3.56 – $37.77 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $44.00 | $80.00 | $3.56 – $37.77 | 5 |
| Susceptibility mic per plate CPT 87186 | $525.25 | $955.00 | $6.49 – $68.76 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | $197.45 | $359.00 | $4.98 – $52.77 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $2,662.91 – $10,498.00 | 4 |
| Suspension of uterus CPT 58410 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Svc venogram s&i CPT 75827 | $2,913.35 | $5,297.00 | $638.52 – $1,585.57 | 3 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $29.14 – $52.49 | 3 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,475.17 – $4,321.00 | 4 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $10.66 – $16.47 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $28.22 – $37.62 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $4.51 – $17.27 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $56.10 | $102.00 | $3.30 – $34.96 | 5 |
| System sealant biosentry tract HCPCS C2613 | $743.20 | $1,351.28 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $144.65 | $263.00 | $12.70 – $93.97 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $11.00 | $20.00 | $10.64 – $112.72 | 5 |
| T4 (thyroxine) free CPT 84439 | $199.10 | $362.00 | $6.76 – $71.68 | 5 |
| T4 (thyroxine) total CPT 84436 | $9.90 | $18.00 | $5.15 – $54.59 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.83 – $1.11 | 3 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.62 – $3.48 | 3 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.28 – $0.33 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $201.13 – $498.24 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $42.35 | $77.00 | $10.30 – $109.21 | 5 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $10.82 – $26.74 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $14,906.00 – $14,906.00 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $58.00 – $139.74 | 5 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $57.54 – $137.55 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $94.01 – $130.13 | 5 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,704.00 – $1,704.00 | 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.