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 |
|---|---|---|---|---|
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $56.65 – $75.45 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $49.24 – $69.09 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 3 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $3,779.05 – $14,543.00 | 4 |
| Vag hyst including t/o CPT 58262 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $5,601.92 – $16,352.00 | 4 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $3,779.05 – $14,543.00 | 4 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Vaginal bx CPT 58999 | not published | not published | $152.73 – $13,711.00 | 4 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $3,779.05 – $9,811.00 | 4 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,260.44 – $1,680.58 | 2 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $7,919.00 – $9,811.00 | 2 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $181.50 | $330.00 | $10.16 – $107.75 | 5 |
| Valrubicin injection HCPCS J9357 | not published | not published | $935.29 – $2,615.89 | 5 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $4,299.64 – $16,582.00 | 4 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $13,711.00 – $13,711.00 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $8,720.95 – $16,582.00 | 4 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $8,720.95 – $16,582.00 | 4 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.06 – $0.06 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.23 – $0.23 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $2.83 – $3.44 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $157.30 | $286.00 | $10.16 – $107.75 | 5 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $26.32 – $279.04 | 5 |
| Varicella zoster antibody igg CPT 86787 | $28.60 | $52.00 | $9.66 – $46.24 | 5 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $13,711.00 – $18,464.62 | 3 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $2,471.80 – $14,543.00 | 4 |
| Vasectomy CPT 55250 | not published | not published | $1,579.16 – $6,798.00 | 4 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $2.06 – $3.02 | 3 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $16.22 – $41.92 | 5 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $281.90 – $375.86 | 2 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $648.73 – $864.97 | 2 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $281.90 – $375.86 | 2 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $281.90 – $375.86 | 2 |
| Veeg unmon 2-12 hrs CPT 95711 | $600.05 | $1,091.00 | not published | 0 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $9,811.00 – $9,811.00 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $707.75 – $3,180.39 | 3 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $820.12 – $820.12 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $473.89 – $829.58 | 3 |
| Vein x-ray kidney CPT 75831 | $2,197.80 | $3,996.00 | $660.68 – $3,180.39 | 3 |
| Vein x-ray liver CPT 75891 | $4,846.60 | $8,812.00 | $693.90 – $3,180.39 | 3 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,850.65 | $5,183.00 | $688.37 – $3,180.39 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | $4,846.60 | $8,812.00 | $688.37 – $3,180.39 | 3 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $691.13 – $3,180.39 | 3 |
| Vein x-ray skull CPT 75870 | not published | not published | $702.21 – $3,180.39 | 3 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $473.89 – $674.53 | 3 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $2,385.29 – $3,180.39 | 3 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $294.63 – $722.35 | 5 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $97.20 – $129.61 | 2 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $97.20 – $129.61 | 2 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $8.50 – $29.19 | 5 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $94.01 – $143.71 | 5 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $2,434.85 | $4,427.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $4,602.95 | $8,369.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $2,719.75 | $4,945.00 | $660.68 – $1,585.57 | 3 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,359.60 | $2,472.00 | $627.44 – $1,585.57 | 3 |
| Venous mech thrombectomy CPT 37187 | $3,748.25 | $6,815.00 | $8,720.95 – $16,582.00 | 4 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $2,385.29 – $10,498.00 | 4 |
| Venous sampling s&i CPT 75893 | $3,760.90 | $6,838.00 | $707.75 – $5,604.85 | 3 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $410.18 – $1,206.69 | 3 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $302.00 – $1,043.32 | 3 |
| Ventilator each subsequent day CPT 94003 | $765.05 | $1,391.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $817.30 | $1,486.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $668.17 – $4,074.00 | 4 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Version cephalic external CPT 59412 | $2,165.35 | $3,937.00 | $2,445.46 – $6,798.00 | 4 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| Verteporfin injection HCPCS J3396 | not published | not published | $8.53 – $21.95 | 5 |
| Very long chain fatty acids CPT 82726 | $212.30 | $386.00 | $14.81 – $143.58 | 5 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $2,672.00 – $4,321.00 | 2 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $2,504.63 – $4,321.00 | 4 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $7.45 – $10.05 | 3 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | not published | not published | $11.89 – $15.41 | 3 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | not published | not published | $3.72 – $12.03 | 3 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.12 – $76.18 | 5 |
| Virus isolation addl studies ea CPT 87253 | $118.25 | $215.00 | $15.15 – $110.91 | 5 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Visc & infraren abd 4+ prost CPT 34848 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Vital capacity test CPT 94150 | $162.80 | $296.00 | $97.20 – $129.61 | 2 |
| Vitamin b-12 CPT 82607 | $10.45 | $19.00 | $11.31 – $119.92 | 5 |
| Vitamin D Test CPT 82306 | $70.95 | $129.00 | $22.20 – $235.42 | 5 |
| Vit for macular hole CPT 67042 | not published | not published | $3,122.55 – $14,543.00 | 4 |
| Vit for macular pucker CPT 67041 | not published | not published | $3,122.55 – $14,543.00 | 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.