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 |
|---|---|---|---|---|
| Treat thigh fracture CPT 27244 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $186.34 – $4,074.00 | 4 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $5,481.64 – $14,543.00 | 4 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Treat thumb fracture CPT 26650 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Treat thumb fracture CPT 26665 | not published | not published | $2,471.80 – $16,582.00 | 4 |
| Treat toe dislocation CPT 28636 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Treat toe dislocation CPT 28665 | $2,603.70 | $4,734.00 | $211.29 – $4,074.00 | 4 |
| Treat toe dislocation CPT 28666 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Treat toe fracture CPT 28525 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Treat ulnar fracture CPT 24675 | $1,702.80 | $3,096.00 | $1,214.74 – $4,321.00 | 4 |
| Treat ulnar fracture CPT 24685 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $152.73 – $4,074.00 | 4 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $1,214.74 – $4,321.00 | 4 |
| Treat wrist dislocation CPT 25675 | not published | not published | $186.34 – $4,074.00 | 4 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $110.17 – $268.21 | 5 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $9.14 – $95.32 | 5 |
| Treponema pallidum antibody CPT 86780 | $163.90 | $298.00 | $9.93 – $62.92 | 5 |
| Treprostinil injection HCPCS J3285 | not published | not published | $41.06 – $105.42 | 5 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $1,102.58 – $1,520.29 | 3 |
| Trg gene rearrangement anal CPT 81342 | $609.40 | $1,108.00 | $151.12 – $1,602.28 | 5 |
| Trh stimulation panel CPT 80439 | not published | not published | $50.41 – $534.47 | 5 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | not published | not published | $1.26 – $1.67 | 3 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $14.39 – $46.57 | 4 |
| Trichinella antibody CPT 86784 | $82.50 | $150.00 | $9.42 – $46.24 | 5 |
| Trichomonas assay w/optic CPT 87808 | $101.75 | $185.00 | $11.47 – $95.32 | 5 |
| #tricyclicantidprssnt CPT 80337 | $77.00 | $140.00 | not published | 0 |
| Triglycerides CPT 84478 | $117.15 | $213.00 | $4.30 – $45.72 | 5 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $4.10 – $10.25 | 5 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $72.56 – $101.46 | 3 |
| Trim nail(s) HCPCS G0127 | not published | not published | $44.57 – $1,704.00 | 3 |
| Trim nondyst nails CPT 11719 | not published | not published | $44.57 – $4,074.00 | 4 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $349.77 – $934.61 | 5 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $3,122.55 – $14,543.00 | 4 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $4,019.93 – $14,543.00 | 4 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $9,698.86 – $16,582.00 | 4 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $186.34 – $4,074.00 | 4 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $18,190.00 – $18,190.00 | 1 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $2,523.40 | $4,588.00 | $16,582.00 – $16,582.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $16,582.00 – $16,582.00 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $8,720.95 – $24,224.00 | 4 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $5,613.85 | $10,207.00 | $4,203.64 – $16,582.00 | 4 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $2,385.29 – $4,321.00 | 4 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $2,385.29 – $4,321.00 | 4 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $5,470.30 | $9,946.00 | $2,385.29 – $10,498.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $2,677.07 – $10,498.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $480.55 – $3,743.28 | 5 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,430.00 – $14,256.00 | 5 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Troponin quantitative CPT 84484 | $218.90 | $398.00 | $9.35 – $78.21 | 5 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $415.49 – $4,074.00 | 4 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $2,662.91 – $6,798.00 | 4 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $592.21 – $789.61 | 2 |
| Tte w or without fol w/con,stres HCPCS C8928 | $851.40 | $1,548.00 | $592.21 – $789.61 | 2 |
| Tte w or without fol w/cont, com HCPCS C8921 | $932.25 | $1,695.00 | $592.21 – $789.61 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $592.21 – $789.61 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $4,567.04 – $16,582.00 | 4 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $333.28 – $4,074.00 | 4 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $5,601.92 – $16,352.00 | 4 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $13,711.00 – $38,635.00 | 4 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $186.34 – $13,711.00 | 4 |
| Tx closed hip disl traumatic without anes CPT 27250 | $523.05 | $951.00 | $186.34 – $4,074.00 | 4 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $186.34 – $4,074.00 | 4 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $558.33 – $4,074.00 | 4 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $558.33 – $4,074.00 | 4 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $2,504.63 – $6,798.00 | 4 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $186.34 – $4,074.00 | 4 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,172.13 – $6,798.00 | 4 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,504.63 – $14,543.00 | 4 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $407.43 – $4,074.00 | 4 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $4,472.08 – $14,543.00 | 4 |
| Tyms gene com variants CPT 81346 | not published | not published | $131.11 – $981.20 | 5 |
| U2af1 gene common variants CPT 81357 | not published | not published | $144.94 – $1,128.09 | 5 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.02 – $25.23 | 5 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $54.18 – $136.62 | 5 |
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.