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 |
|---|---|---|---|---|
| Ugt1a1 gene analy common variants CPT 81350 | $838.20 | $1,524.00 | $175.50 – $1,313.44 | 5 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $703.45 | $1,279.00 | $78.98 – $516.90 | 3 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $32.12 – $105.30 | 3 |
| Ultrasound breast complete CPT 76641 | $933.90 | $1,698.00 | $78.98 – $552.68 | 3 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,150.60 | $2,092.00 | $65.74 – $422.53 | 3 |
| Ultrasound chest CPT 76604 | $884.40 | $1,608.00 | $78.98 – $475.14 | 3 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $680.35 | $1,237.00 | $78.98 – $170.55 | 3 |
| Ultrasound dx ophth b-scan CPT 76512 | $288.75 | $525.00 | $78.98 – $309.03 | 3 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $263.60 – $263.60 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $78.98 – $605.89 | 3 |
| Ultrasound encephalogram CPT 76506 | $645.70 | $1,174.00 | $78.98 – $668.97 | 3 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $78.98 – $926.50 | 3 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,197.35 | $2,177.00 | $78.98 – $386.54 | 3 |
| Ultrasound guidance for vascular access CPT 76937 | $444.95 | $809.00 | $132.91 – $132.91 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $2,735.15 | $4,973.00 | $214.87 – $214.87 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $1,552.10 | $2,822.00 | $479.15 – $479.15 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $488.28 – $488.28 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $1,290.30 | $2,346.00 | $65.74 – $846.20 | 3 |
| Ultrasound infant hips ltd without stress CPT 76886 | $1,012.55 | $1,841.00 | $65.74 – $588.68 | 3 |
| Ultrasound joint complete left CPT 76881 | $906.40 | $1,648.00 | $78.98 – $652.36 | 3 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $656.70 | $1,194.00 | $78.98 – $105.30 | 3 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $78.98 – $119.38 | 3 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,111.00 | $2,020.00 | $340.58 – $340.58 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $579.15 | $1,053.00 | $174.45 – $174.45 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $180.25 – $656.76 | 3 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $755.70 | $1,374.00 | $78.98 – $558.22 | 3 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $916.30 | $1,666.00 | $78.98 – $403.14 | 3 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $956.45 | $1,739.00 | $78.98 – $461.30 | 3 |
| Ultrasound prostate/transrectal CPT 76872 | $794.75 | $1,445.00 | $78.98 – $472.38 | 3 |
| Ultrasound retroperitoneal limited CPT 76775 | $462.00 | $840.00 | $78.98 – $225.94 | 3 |
| Ultrasound scrotum and contents CPT 76870 | $923.45 | $1,679.00 | $78.98 – $275.77 | 3 |
| Ultrasound spinal canal and contents CPT 76800 | $489.50 | $890.00 | $78.98 – $632.96 | 3 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $896.04 – $896.04 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $960.30 | $1,746.00 | $78.98 – $680.06 | 3 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $263.55 – $1,907.28 | 3 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $1,392.93 – $1,392.93 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $230.21 – $4,074.00 | 4 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $21.85 – $29.13 | 2 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $21.85 – $29.13 | 2 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $35.37 – $47.17 | 2 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $178.93 – $13,711.00 | 4 |
| Unlisted CT procedure CPT 76497 | not published | not published | $65.74 – $611.02 | 3 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $302.00 – $402.67 | 2 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $39.37 – $52.49 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $39.37 – $52.49 | 2 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $97.20 – $1,704.00 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $302.00 – $402.67 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $152.73 – $4,074.00 | 4 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $65.74 – $300.38 | 3 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $302.00 – $402.67 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $302.00 – $402.67 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $152.73 – $4,074.00 | 4 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $4,567.04 – $14,543.00 | 4 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px renal CPT 50549 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px testis CPT 54699 | not published | not published | $4,567.04 – $14,543.00 | 4 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $4,567.04 – $14,906.00 | 4 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $178.93 – $4,074.00 | 4 |
| Unlisted misc path test CPT 89240 | not published | not published | $39.37 – $52.49 | 2 |
| Unlisted mr procedure CPT 76498 | $1,811.15 | $3,293.00 | $65.74 – $530.63 | 3 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $302.00 – $402.67 | 2 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $178.93 – $13,711.00 | 4 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $97.20 – $129.61 | 2 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $302.00 – $402.67 | 2 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $21.85 – $29.13 | 2 |
| Unlisted orl service/px CPT 92700 | not published | not published | $21.85 – $29.13 | 2 |
| Unlisted procedure colon CPT 45399 | not published | not published | $702.53 – $13,711.00 | 4 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $685.17 – $13,711.00 | 4 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $239.78 – $13,711.00 | 4 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $178.93 – $13,711.00 | 4 |
| Unlisted procedure liver CPT 47399 | not published | not published | $534.95 – $13,711.00 | 4 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $239.78 – $13,711.00 | 4 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $534.95 – $13,711.00 | 4 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $702.53 – $13,711.00 | 4 |
| Unlisted procedure spine CPT 22899 | not published | not published | $186.34 – $13,711.00 | 4 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $186.34 – $13,711.00 | 4 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $178.93 – $13,711.00 | 4 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,743.42 – $13,711.00 | 4 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $186.34 – $13,711.00 | 4 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $685.17 – $13,711.00 | 4 |
| Unlisted px casting/strpg CPT 29799 | $321.20 | $584.00 | $122.76 – $13,711.00 | 4 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $239.78 – $13,711.00 | 4 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $534.95 – $13,711.00 | 4 |
| Unlisted px external ear CPT 69399 | not published | not published | $178.93 – $13,711.00 | 4 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $239.78 – $13,711.00 | 4 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $186.34 – $13,711.00 | 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.