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 |
|---|---|---|---|---|
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $45.48 – $45.48 | 1 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted CT procedure CPT 76497 | not published | not published | $84.53 – $209.98 | 2 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $388.31 – $388.31 | 1 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $50.62 – $50.62 | 1 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $50.62 – $50.62 | 1 |
| Unlisted dialysis procedure CPT 90999 | $3,327.50 | $6,050.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $124.98 – $2,181.00 | 2 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $388.31 – $388.31 | 1 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $196.38 – $4,217.00 | 3 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $84.53 – $103.24 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | $1,818.30 | $3,306.00 | $388.31 – $388.31 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $388.31 – $388.31 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $196.38 – $4,217.00 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $230.06 – $4,217.00 | 3 |
| Unlisted misc path test CPT 89240 | not published | not published | $50.62 – $50.62 | 1 |
| Unlisted mr procedure CPT 76498 | $1,512.50 | $2,750.00 | $84.53 – $182.35 | 2 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $388.31 – $388.31 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $124.98 – $124.98 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $388.31 – $388.31 | 1 |
| Unlisted procedure colon CPT 45399 | not published | not published | $903.30 – $13,723.00 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $880.98 – $13,723.00 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $308.31 – $13,723.00 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $687.83 – $13,723.00 | 3 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $308.31 – $13,723.00 | 3 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $687.83 – $13,723.00 | 3 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $903.30 – $13,723.00 | 3 |
| Unlisted procedure spine CPT 22899 | not published | not published | $239.60 – $13,723.00 | 3 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $8,960.00 – $10,137.00 | 2 |
| Unlisted px abdomen muscskel CPT 22999 | $969.10 | $1,762.00 | $239.60 – $13,723.00 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,241.66 – $13,723.00 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $239.60 – $13,723.00 | 3 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $880.98 – $13,723.00 | 3 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $157.84 – $13,723.00 | 3 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $308.31 – $13,723.00 | 3 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $13,723.00 – $13,723.00 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $687.83 – $13,723.00 | 3 |
| Unlisted px external ear CPT 69399 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $308.31 – $13,723.00 | 3 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $239.60 – $13,723.00 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $239.60 – $13,723.00 | 3 |
| Unlisted px hands/fingers CPT 26989 | $3,856.60 | $7,012.00 | $239.60 – $4,217.00 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $230.06 – $4,217.00 | 3 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $308.31 – $13,723.00 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $239.60 – $13,723.00 | 3 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $242.69 – $13,723.00 | 3 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $13,723.00 – $13,723.00 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $239.60 – $13,723.00 | 3 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,241.66 – $13,723.00 | 3 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted px small intestine CPT 44799 | $281.60 | $512.00 | $880.98 – $13,723.00 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $230.06 – $4,217.00 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $230.06 – $13,723.00 | 3 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $50.62 – $50.62 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $388.31 – $388.31 | 1 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $194.88 – $194.88 | 1 |
| Unlisted surgical path px CPT 88399 | not published | not published | $50.62 – $50.62 | 1 |
| Unlisted transfusion med px CPT 86999 | $212.30 | $386.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $84.53 – $84.53 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $609.32 – $4,217.00 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $388.31 – $388.31 | 1 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $872.30 | $1,586.00 | not published | 0 |
| Upgrade pm system CPT 33214 | not published | not published | $10,152.36 – $40,677.00 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,719.10 | $6,762.00 | $338.87 – $702.45 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,234.00 | $5,880.00 | $338.87 – $614.35 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,748.90 | $4,998.00 | $231.76 – $394.52 | 2 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $880.98 – $4,217.00 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $880.98 – $4,217.00 | 3 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $880.98 – $4,217.00 | 3 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $5,872.22 – $13,176.00 | 3 |
| Urea nitrogen CPT 84520 | $35.75 | $65.00 | $3.95 – $6.91 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | $20.35 | $37.00 | $5.56 – $9.73 | 4 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $12.60 | 4 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $8.98 | 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.