SSM Health St. Mary's Hospital - Madison
700 South Park St, Madison, WI · SSM Health · · NPI 1902290034
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 |
|---|---|---|---|---|
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $90.66 – $1,880.17 | 5 |
| Resuscitation cardiopulmonary CPT 92950 | $631.40 | $1,148.00 | $157.30 – $2,036.00 | 3 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $481.50 – $642.00 | 2 |
| Reticulated platelet assay CPT 85055 | $92.40 | $168.00 | $26.80 – $217.72 | 5 |
| Reticulocyte automated CPT 85045 | $59.40 | $108.00 | $2.99 – $32.54 | 5 |
| Reticulocyte direct measurement automated CPT 85046 | $29.70 | $54.00 | $4.18 – $45.33 | 5 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $23.24 – $56.97 | 5 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $4,982.00 – $4,982.00 | 1 |
| Retrieval of oocyte CPT 58970 | not published | not published | $670.98 – $4,198.00 | 4 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $14.69 – $148.41 | 5 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | not published | not published | $4,146.30 – $5,528.40 | 2 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | not published | not published | $4,146.30 – $5,528.40 | 2 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | not published | not published | $13,354.59 – $17,806.11 | 2 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | not published | not published | $13,354.59 – $17,806.11 | 2 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | not published | not published | $13,354.59 – $17,806.11 | 2 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc imvt angio sf 1st CPT 37296 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | not published | not published | $4,146.30 – $5,528.40 | 2 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc ivt stent sf 1st CPT 37258 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | not published | not published | $8,409.93 – $11,213.25 | 2 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | not published | not published | $13,354.59 – $17,806.11 | 2 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | not published | not published | $13,354.59 – $17,806.11 | 2 |
| Revasc intra lithotrip-ather HCPCS C9766 | $13,664.75 | $24,845.00 | $13,354.59 – $27,690.00 | 4 |
| Revasc intra lithotrip-stent HCPCS C9765 | $14,856.60 | $27,012.00 | $13,354.59 – $27,690.00 | 4 |
| Revasc intravasc lithotripsy HCPCS C9764 | $15,281.20 | $27,784.00 | $8,409.93 – $18,955.00 | 4 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $14,782.90 | $26,878.00 | $13,354.59 – $27,690.00 | 4 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $19,044.30 | $34,626.00 | $13,354.59 – $27,690.00 | 4 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $10,113.40 | $18,388.00 | $8,409.93 – $27,690.00 | 4 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $17,217.75 | $31,305.00 | $13,354.59 – $27,690.00 | 4 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $13,944.70 | $25,354.00 | $13,354.59 – $27,690.00 | 4 |
| Revascularization penis CPT 37788 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.26 – $0.37 | 3 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $2,608.32 – $9,052.00 | 4 |
| Revise additional leg tendon CPT 27692 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,681.25 – $8,124.00 | 4 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $4,837.36 – $17,504.00 | 4 |
| Revise circulation to head CPT 61708 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Revise circulation to head CPT 61705 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Revise circulation to head CPT 61710 | not published | not published | $19,855.00 – $19,855.00 | 1 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Revise eye CPT 65091 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Revise eyelashes CPT 67825 | not published | not published | $231.23 – $4,198.00 | 4 |
| Revise eyelashes CPT 67835 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise eyelid defect CPT 67909 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise eyelid defect CPT 67911 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise eyelid lining CPT 68330 | not published | not published | $1,681.25 – $8,124.00 | 4 |
| Revise eyelid lining CPT 68360 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise eye muscle CPT 67311 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise eye muscle CPT 67314 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $2,036.00 – $2,036.00 | 1 |
| Revise eye socket implant CPT 67560 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Revise eye sockets CPT 21260 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise eye sockets CPT 21261 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise eye sockets CPT 21263 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise eye sockets CPT 21267 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise eye sockets CPT 21268 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise eye with implant CPT 65093 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Revise finger joint each CPT 26135 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Revise finger joint each CPT 26140 | not published | not published | $1,171.42 – $4,982.00 | 4 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $2,581.60 – $9,052.00 | 4 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $1,732.00 – $8,124.00 | 4 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $2,864.02 – $9,052.00 | 4 |
| Revise graft w/vein CPT 35879 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revise head/neck of femur CPT 27179 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $2,608.32 – $9,052.00 | 4 |
| Revise hip joint replacement CPT 27134 | not published | not published | $9,352.97 – $27,690.00 | 4 |
| Revise hip joint replacement CPT 27138 | not published | not published | $9,352.97 – $27,690.00 | 4 |
| Revise hip joint replacement CPT 27137 | not published | not published | $9,352.97 – $27,690.00 | 4 |
| Revise/implant finger joint CPT 26536 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revise kneecap CPT 27437 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revise kneecap with implant CPT 27438 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Revise knuckle joint CPT 26530 | not published | not published | $5,286.15 – $16,624.00 | 4 |
| Revise knuckle with implant CPT 26531 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| Revise lower leg tendon CPT 27690 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revise lower leg tendon CPT 27691 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revise lower leg tendons CPT 27686 | not published | not published | $2,383.65 – $9,052.00 | 4 |
| Revise middle ear bone CPT 69660 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise middle ear bone CPT 69661 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise middle ear bone CPT 69662 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $4,312.59 – $16,624.00 | 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.