SSM Health Monroe Hospital
515 22Nd Ave, Monroe, WI · SSM Health · · NPI 1073653523
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $51.24 | 4 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.81 – $39.92 | 4 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $22.40 | 4 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $129.32 – $129.32 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $62.86 | 4 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $129.23 – $129.23 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,295.70 | $4,174.00 | $761.45 – $761.45 | 1 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $761.45 – $761.45 | 1 |
| 2nd order venous cath CPT 36012 | $2,630.65 | $4,783.00 | $2,181.00 – $9,837.00 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $124.98 – $124.98 | 1 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $124.98 – $124.98 | 1 |
| 3d ech img cgen car anomal CPT 93319 | $1,145.10 | $2,082.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $707.96 – $1,344.45 | 2 |
| 3d recon without postprocess indpndt CPT 76376 | $451.55 | $821.00 | $33.87 – $33.87 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $23.10 | $42.00 | $11.15 – $19.51 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $252.45 | $459.00 | $21.74 – $21.74 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $106.70 | $194.00 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.38 – $118.11 | 6 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $110.00 | $200.00 | $12.01 – $21.02 | 4 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,520.84 – $1,520.84 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $2,898.50 | $5,270.00 | $218.47 – $3,066.96 | 2 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $2,181.85 | $3,967.00 | $2,181.00 – $9,837.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $2,648.80 | $4,816.00 | $2,181.00 – $9,837.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $3,138.85 | $5,707.00 | $2,181.00 – $9,837.00 | 2 |
| Abd/low ext cath addl CPT 36248 | $1,819.40 | $3,308.00 | $2,181.00 – $9,837.00 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,882.10 | $3,422.00 | $170.37 – $509.67 | 2 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,619.20 | $2,944.00 | $170.37 – $442.11 | 2 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,480.05 | $2,691.00 | $101.55 – $238.46 | 2 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,324.65 | $7,863.00 | $338.87 – $1,044.07 | 2 |
| Abdominal MRI (with contrast) CPT 74182 | $3,714.70 | $6,754.00 | $338.87 – $977.48 | 2 |
| Abdominal MRI (without contrast) CPT 74181 | $2,900.70 | $5,274.00 | $231.76 – $689.53 | 2 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,289.65 | $4,163.00 | $880.98 – $4,217.00 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,471.25 | $2,675.00 | $101.55 – $220.39 | 2 |
| Abdominal Ultrasound (limited) CPT 76705 | $607.75 | $1,105.00 | $101.55 – $166.14 | 2 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,449.81 – $15,012.00 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $829.40 | $1,508.00 | $880.98 – $4,217.00 | 3 |
| Abl1 gene CPT 81170 | $917.40 | $1,668.00 | $300.00 – $525.00 | 4 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | $8,877.00 | $16,140.00 | $14,758.00 – $17,031.17 | 3 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $7,576.07 – $17,116.00 | 2 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | $6,724.30 | $12,226.00 | $5,872.22 – $17,116.00 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,562.55 | $2,841.00 | $124.98 – $2,181.00 | 2 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $880.98 – $13,723.00 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $239.60 – $4,217.00 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $428.53 – $13,723.00 | 3 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $239.60 – $13,723.00 | 3 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,325.10 – $10,325.10 | 1 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $298.15 – $13,723.00 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,604.25 – $1,604.25 | 1 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $8,701.00 – $9,195.08 | 2 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $12,815.23 – $13,352.00 | 2 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.95 – $24.62 | 6 |
| Abortion CPT 59850 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $295.99 – $4,217.00 | 3 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $194.88 – $4,217.00 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,526.25 | $2,775.00 | $1,604.25 – $4,743.00 | 3 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.05 – $0.16 | 6 |
| Acetaminophen level CPT 80143 | $102.85 | $187.00 | $18.64 – $32.62 | 4 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $19.06 – $57.18 | 6 |
| Acetone qualitative CPT 82009 | $34.65 | $63.00 | $4.52 – $7.91 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $41.80 | $76.00 | $12.05 – $21.09 | 4 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $21.51 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.45 – $1.34 | 6 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.44 – $25.31 | 6 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $362.46 – $2,181.00 | 2 |
| Acne surgery 10040 CPT 10040 | not published | not published | $194.88 – $4,217.00 | 3 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $166.99 – $166.99 | 1 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $131.70 – $131.70 | 1 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $98.68 – $98.68 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $172.41 – $172.41 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $129.32 – $129.32 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $11.97 – $11.97 | 1 |
| Acoustic immitance testing CPT 92570 | not published | not published | $124.98 – $124.98 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $36.28 – $36.28 | 1 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $57.30 – $57.30 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $36.28 – $36.28 | 1 |
| Acute hepatitis panel CPT 80074 | $299.75 | $545.00 | $47.63 – $83.35 | 4 |
| Acute venous thrombus image CPT 78456 | not published | not published | $752.12 – $1,257.53 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.04 – $0.12 | 6 |
| #acylcarnitineprfl CPT 82017 | $132.00 | $240.00 | $16.87 – $29.52 | 4 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $28.86 | 4 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $172.41 – $172.41 | 1 |
| Adapter b 8 channel 10cm HCPCS C1883 | $338.68 | $615.78 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $157.84 – $4,217.00 | 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.