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 |
|---|---|---|---|---|
| Revision of knee joint CPT 27440 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Revision of knee joint CPT 27441 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Revision of knee joint CPT 27442 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Revision of knee joint CPT 27443 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Revision of knee joint CPT 27446 | not published | not published | $9,352.97 – $27,690.00 | 4 |
| Revision of knee joint CPT 27445 | not published | not published | $18,955.00 – $19,855.00 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,300.22 – $4,982.00 | 4 |
| Revision of lung CPT 32940 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Revision of mitral valve CPT 33420 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Revision of mitral valve CPT 33422 | not published | not published | $14,021.00 – $14,021.00 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $5,286.15 – $8,124.00 | 4 |
| Revision of neck muscle CPT 21720 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Revision of neck muscle CPT 21725 | not published | not published | $515.87 – $4,198.00 | 4 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $4,982.00 – $18,955.00 | 4 |
| Revision of nose CPT 30120 | not published | not published | $2,415.31 – $8,124.00 | 4 |
| Revision of nose CPT 30430 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Revision of nose CPT 30435 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revision of nose CPT 30450 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revision of nose CPT 30460 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revision of nose CPT 30462 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revision of pelvis CPT 27158 | not published | not published | $5,286.15 – $18,955.00 | 4 |
| Revision of penis CPT 54300 | not published | not published | $2,567.95 – $16,624.00 | 4 |
| Revision of penis CPT 54304 | not published | not published | $2,567.95 – $16,624.00 | 4 |
| Revision of penis CPT 54420 | not published | not published | $2,567.95 – $9,052.00 | 4 |
| Revision of penis CPT 54430 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $2,567.95 – $9,052.00 | 4 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $17,504.00 – $17,504.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revision of radius CPT 25355 | not published | not published | $2,383.65 – $16,624.00 | 4 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| Revision of scrotum CPT 55175 | not published | not published | $2,567.95 – $16,624.00 | 4 |
| Revision of scrotum CPT 55180 | not published | not published | $3,906.07 – $13,962.00 | 4 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,488.66 – $16,624.00 | 4 |
| Revision of testis CPT 54660 | not published | not published | $3,906.07 – $13,962.00 | 4 |
| Revision of thigh muscles CPT 27430 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revision of toe CPT 28312 | not published | not published | $2,383.65 – $8,124.00 | 4 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $20,778.00 – $20,778.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revision of upper arm CPT 24940 | not published | not published | $6,044.00 – $18,955.00 | 4 |
| Revision of ureter CPT 50700 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $2,567.95 – $9,052.00 | 4 |
| Revision of urethra CPT 53460 | not published | not published | $2,567.95 – $8,124.00 | 4 |
| Revision of urethra CPT 57220 | not published | not published | $3,644.28 – $16,624.00 | 4 |
| Revision of urinary tract CPT 51820 | not published | not published | $13,962.00 – $13,962.00 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $5,286.15 – $19,855.00 | 4 |
| Revision tips CPT 37183 | $14,012.35 | $25,477.00 | $4,146.30 – $27,690.00 | 4 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $9,352.97 – $20,778.00 | 4 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $90.66 – $2,071.13 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,053.72 – $18,955.00 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $3,906.07 – $16,624.00 | 4 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,546.91 – $6,044.00 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,546.91 – $9,052.00 | 4 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $6,044.00 – $6,044.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,546.91 – $9,052.00 | 4 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,546.91 – $9,052.00 | 4 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $12,773.37 – $27,690.00 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $12,773.37 – $27,690.00 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $14,021.00 – $29,973.09 | 3 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $12,773.37 – $19,855.00 | 3 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $8,117.45 – $27,690.00 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | $5,058.90 | $9,198.00 | $18,955.00 – $18,955.00 | 1 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $8.25 – $20.17 | 5 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,422.56 – $8,124.00 | 4 |
| Rheumatoid factor qualitative CPT 86430 | $74.25 | $135.00 | $4.60 – $46.14 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $26.95 | $49.00 | $4.25 – $46.14 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $4,312.59 – $13,962.00 | 4 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $6.90 – $9.44 | 3 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $34.25 – $52.93 | 3 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $26.84 – $60.79 | 5 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $111.88 – $156.60 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $2,361.75 – $16,624.00 | 4 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $2,361.75 – $16,624.00 | 4 |
| Rib cartilage graft CPT 21230 | not published | not published | $4,312.59 – $16,624.00 | 4 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.20 – $0.30 | 2 |
| Right ventric recording CPT 93603 | $754.05 | $1,371.00 | $886.98 – $3,863.00 | 3 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $10.90 – $28.20 | 5 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $27.30 – $36.39 | 2 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $8.33 – $20.79 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $54.96 – $144.27 | 5 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $27.29 – $70.23 | 5 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $25.92 – $59.24 | 5 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $13.90 – $68.04 | 5 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $12.12 – $50.36 | 5 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,361.75 – $16,624.00 | 4 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $2,361.75 – $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.