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 |
|---|---|---|---|---|
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $211.29 – $4,074.00 | 4 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $211.29 – $4,074.00 | 4 |
| Western blot test CPT 84181 | not published | not published | $12.77 – $135.43 | 5 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $13.90 – $33.98 | 5 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $734.25 | $1,335.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $487.30 | $886.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $965.25 – $7,223.88 | 5 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $702.00 – $5,253.74 | 5 |
| Wilate injection HCPCS J7183 | not published | not published | $0.99 – $2.41 | 5 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $94.01 – $686.09 | 5 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $307.10 – $409.46 | 2 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $307.10 – $409.46 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $213.95 | $389.00 | $151.57 – $202.09 | 2 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $262.35 | $477.00 | $307.10 – $409.46 | 2 |
| Wrist arthroscopy CPT 29840 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,214.74 – $7,919.00 | 4 |
| Wrist X-ray CPT 73110 | $396.00 | $720.00 | $65.74 – $203.78 | 3 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $3,122.55 – $14,543.00 | 4 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,743.42 – $6,798.00 | 4 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $4,019.93 – $14,543.00 | 4 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $3,122.55 – $14,543.00 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $4,019.93 – $14,543.00 | 4 |
| Xe133 xenon 10mci HCPCS A9558 | $50.05 | $91.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,558.69 – $4,321.00 | 4 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $685.50 – $5,335.47 | 5 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $685.50 – $5,335.47 | 5 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $21.85 – $131.70 | 3 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $4,321.00 – $4,321.00 | 1 |
| X-ray abdomen 1 view CPT 74018 | $460.90 | $838.00 | $65.74 – $139.76 | 3 |
| X-ray abdomen 2 views CPT 74019 | $583.00 | $1,060.00 | $78.98 – $167.48 | 3 |
| X-ray abdomen >=3 views CPT 74021 | $591.80 | $1,076.00 | $78.98 – $195.24 | 3 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $728.20 | $1,324.00 | $78.98 – $217.64 | 3 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $472.45 | $859.00 | $65.74 – $192.70 | 3 |
| X-ray ankle 2 views (both sides) CPT 73600 | $325.05 | $591.00 | $65.74 – $165.02 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $964.70 | $1,754.00 | $263.55 – $560.99 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $9.39 – $99.58 | 5 |
| X-ray bone age studies CPT 77072 | $276.10 | $502.00 | $78.98 – $105.30 | 3 |
| X-ray bone length studies CPT 77073 | $520.30 | $946.00 | $78.98 – $167.79 | 3 |
| X-ray bone survey complete CPT 77075 | $827.75 | $1,505.00 | $78.98 – $466.85 | 3 |
| X-ray bone survey infant CPT 77076 | $624.80 | $1,136.00 | $78.98 – $469.61 | 3 |
| X-ray cervical spine 2-3 views CPT 72040 | $422.40 | $768.00 | $65.74 – $167.79 | 3 |
| X-ray cervical spine 4-5 views CPT 72050 | $487.85 | $887.00 | $78.98 – $223.16 | 3 |
| X-ray cervical spine >= 6 views CPT 72052 | $889.35 | $1,617.00 | $78.98 – $292.40 | 3 |
| X-ray clavicle complete (both sides) CPT 73000 | $271.70 | $494.00 | $65.74 – $145.63 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $831.60 | $1,512.00 | $132.50 – $890.49 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,247.95 | $2,269.00 | $132.50 – $1,258.80 | 3 |
| X-ray elbow 2 views (both sides) CPT 73070 | $267.30 | $486.00 | $65.74 – $148.39 | 3 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $364.65 | $663.00 | $65.74 – $170.55 | 3 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $2,554.20 – $2,554.20 | 1 |
| Xray endovasc thor ao repr CPT 75957 | $1,375.00 | $2,500.00 | $2,187.21 – $2,187.21 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $494.45 | $899.00 | $132.50 – $505.61 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $78.98 – $386.54 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $78.98 – $464.06 | 3 |
| X-ray exam of arm infant CPT 73092 | $272.80 | $496.00 | $78.98 – $145.63 | 3 |
| X-ray exam of eye sockets CPT 70200 | not published | not published | $78.98 – $214.87 | 3 |
| X-ray exam of femur 1 CPT 73551 | $256.85 | $467.00 | $65.74 – $148.39 | 3 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $65.74 – $165.02 | 3 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $180.25 – $386.54 | 3 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $78.98 – $189.94 | 3 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $259.17 – $550.38 | 3 |
| X-ray exam of penis CPT 74445 | not published | not published | $78.98 – $311.04 | 3 |
| X-ray exam of perineum CPT 74775 | not published | not published | $180.25 – $411.08 | 3 |
| X-ray exam of salivary gland CPT 70380 | $376.75 | $685.00 | $65.74 – $206.56 | 3 |
| X-ray exam of sinuses CPT 70210 | $152.90 | $278.00 | $65.74 – $159.47 | 3 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $180.25 – $271.95 | 3 |
| X-ray exam of teeth CPT 70300 | not published | not published | $65.74 – $87.66 | 3 |
| X-ray exam of teeth CPT 70310 | not published | not published | $180.25 – $240.33 | 3 |
| X-ray exam si joints CPT 72200 | not published | not published | $78.98 – $151.17 | 3 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $78.98 – $217.64 | 3 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $202.40 | $368.00 | $65.74 – $148.39 | 3 |
| X-ray facial bones complete > 3 views CPT 70150 | $421.85 | $767.00 | $78.98 – $214.87 | 3 |
| X-ray fallopian tube CPT 74742 | not published | not published | $422.95 – $422.95 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $388.85 | $707.00 | $65.74 – $176.08 | 3 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $333.30 | $606.00 | $65.74 – $187.17 | 3 |
| X-ray foot 2 views (both sides) CPT 73620 | $325.05 | $591.00 | $65.74 – $140.08 | 3 |
| X-ray forearm 2 views (both sides) CPT 73090 | $330.55 | $601.00 | $65.74 – $131.78 | 3 |
| X-ray hand 2 views (both sides) CPT 73120 | $331.65 | $603.00 | $78.98 – $134.56 | 3 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $65.74 – $87.66 | 3 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $264.00 | $480.00 | $65.74 – $145.63 | 3 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $392.70 | $714.00 | $78.98 – $286.84 | 3 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $427.35 | $777.00 | $78.98 – $217.64 | 3 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $647.35 | $1,177.00 | $78.98 – $259.17 | 3 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $647.35 | $1,177.00 | $78.98 – $311.77 | 3 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $122.10 | $222.00 | $65.74 – $156.71 | 3 |
| X-ray humerus >= 2 views left CPT 73060 | $255.75 | $465.00 | $65.74 – $156.71 | 3 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $78.98 – $162.25 | 3 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $304.15 | $553.00 | $65.74 – $173.34 | 3 |
| X-ray knee 3 views (both sides) CPT 73562 | $316.25 | $575.00 | $65.74 – $201.01 | 3 |
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.