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 |
|---|---|---|---|---|
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $5,661.15 | $10,293.00 | $8,433.00 – $8,433.00 | 1 |
| Trnscath plc stnt ante carotid art CPT 37218 | $4,153.05 | $7,551.00 | $8,433.00 – $8,433.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $101.75 | $185.00 | $9,837.00 – $17,116.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $67.10 | $122.00 | $9,837.00 – $17,116.00 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $5,442.80 | $9,896.00 | $11,213.25 – $25,004.00 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $1,461.35 | $2,657.00 | $3,066.96 – $10,137.00 | 3 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,902.45 | $3,459.00 | $5,404.97 – $17,116.00 | 3 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,018.60 | $1,852.00 | $3,066.96 – $4,743.00 | 3 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $747.45 | $1,359.00 | $3,066.96 – $4,743.00 | 3 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,976.15 | $3,593.00 | $3,066.96 – $10,137.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $1,121.28 | 4 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $5,670.00 | 4 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Troponin quantitative CPT 84484 | $75.90 | $138.00 | $12.47 – $21.82 | 4 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $534.23 – $4,217.00 | 3 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $120.88 – $329.47 | 2 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,422.20 | $4,404.00 | $761.45 – $761.45 | 1 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,380.50 | $2,510.00 | $761.45 – $761.45 | 1 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $761.45 – $761.45 | 1 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $761.45 – $761.45 | 1 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $428.53 – $4,217.00 | 3 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $7,202.85 – $16,164.00 | 3 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $8,960.00 – $10,137.00 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $25,388.55 – $40,677.00 | 2 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $239.60 – $13,723.00 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $239.60 – $4,217.00 | 3 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $239.60 – $4,217.00 | 3 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $717.88 – $4,217.00 | 3 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $717.88 – $4,217.00 | 3 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $1,840.85 | $3,347.00 | $3,178.20 – $8,701.00 | 3 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $239.60 – $4,217.00 | 3 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,507.10 – $8,701.00 | 3 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $209.73 – $209.73 | 1 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $523.87 – $4,217.00 | 3 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $305.92 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $245.70 – $245.70 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $338.19 | 4 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $7.04 | 4 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.66 – $186.93 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | $911.90 | $1,658.00 | $234.00 – $409.50 | 4 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $106.15 | $193.00 | $101.55 – $177.63 | 2 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $11.03 – $101.55 | 2 |
| Ultrasound breast complete CPT 76641 | $639.10 | $1,162.00 | $101.55 – $190.88 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $489.50 | $890.00 | $84.53 – $146.15 | 2 |
| Ultrasound chest CPT 76604 | $489.50 | $890.00 | $101.55 – $162.32 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $370.70 | $674.00 | $57.66 – $101.55 | 2 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $101.55 – $106.18 | 2 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $90.59 – $90.59 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $101.55 – $208.21 | 2 |
| Ultrasound encephalogram CPT 76506 | $577.50 | $1,050.00 | $101.55 – $231.81 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $101.55 – $317.43 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $550.55 | $1,001.00 | $101.55 – $131.89 | 2 |
| Ultrasound guidance for vascular access CPT 76937 | $695.20 | $1,264.00 | $46.24 – $46.24 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $665.50 | $1,210.00 | $71.94 – $71.94 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $498.85 | $907.00 | $171.36 – $171.36 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $609.40 | $1,108.00 | $171.62 – $171.62 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $695.20 | $1,264.00 | $84.53 – $289.85 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | $595.10 | $1,082.00 | $84.53 – $201.34 | 2 |
| Ultrasound joint complete left CPT 76881 | $543.40 | $988.00 | $101.55 – $227.05 | 2 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $374.00 | $680.00 | $30.07 – $101.55 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $40.82 – $101.55 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $117.61 – $117.61 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $261.80 | $476.00 | $60.52 – $60.52 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $222.85 – $231.76 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $319.00 | $580.00 | $101.55 – $190.88 | 2 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $454.85 | $827.00 | $101.55 – $137.58 | 2 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $436.70 | $794.00 | $101.55 – $157.56 | 2 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $101.55 – $160.44 | 2 |
| Ultrasound retroperitoneal limited CPT 76775 | $463.10 | $842.00 | $76.70 – $101.55 | 2 |
| Ultrasound scrotum and contents CPT 76870 | $568.15 | $1,033.00 | $93.83 – $101.55 | 2 |
| Ultrasound spinal canal and contents CPT 76800 | $481.25 | $875.00 | $101.55 – $216.58 | 2 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $304.14 – $304.14 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $388.85 | $707.00 | $101.55 – $233.70 | 2 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $338.87 – $655.44 | 2 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $478.68 – $478.68 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.89 – $7.89 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $295.99 – $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.