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 |
|---|---|---|---|---|
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $120.88 – $744.63 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $394.86 – $394.86 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $394.86 – $394.86 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $77.55 | $141.00 | $194.88 – $194.88 | 1 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $506.55 | $921.00 | $394.86 – $394.86 | 1 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,561.89 – $10,137.00 | 3 |
| Wrist X-ray CPT 73110 | $238.15 | $433.00 | $69.07 – $84.53 | 2 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,014.93 – $15,012.00 | 3 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,241.66 – $8,701.00 | 3 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,168.76 – $15,012.00 | 3 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,014.93 – $15,012.00 | 3 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $42.47 – $42.47 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,168.76 – $15,012.00 | 3 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $741.49 – $741.49 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,599.50 | 4 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $1,599.50 | 4 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $22.08 – $28.09 | 2 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| X-ray abdomen 1 view CPT 74018 | $122.10 | $222.00 | $48.03 – $84.53 | 2 |
| X-ray abdomen 2 views CPT 74019 | $140.80 | $256.00 | $57.55 – $101.55 | 2 |
| X-ray abdomen >=3 views CPT 74021 | $196.35 | $357.00 | $67.09 – $101.55 | 2 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $212.30 | $386.00 | $73.83 – $101.55 | 2 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $486.75 | $885.00 | $65.28 – $84.53 | 2 |
| X-ray ankle 2 views (both sides) CPT 73600 | $234.85 | $427.00 | $49.10 – $84.53 | 2 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $605.55 | $1,101.00 | $192.80 – $338.87 | 2 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $21.91 | 4 |
| X-ray bone age studies CPT 77072 | $166.10 | $302.00 | $35.77 – $101.55 | 2 |
| X-ray bone length studies CPT 77073 | $452.10 | $822.00 | $56.71 – $101.55 | 2 |
| X-ray bone survey complete CPT 77075 | $733.70 | $1,334.00 | $101.55 – $158.54 | 2 |
| X-ray bone survey infant CPT 77076 | $320.65 | $583.00 | $101.55 – $158.54 | 2 |
| X-ray cervical spine 2-3 views CPT 72040 | $192.50 | $350.00 | $56.71 – $84.53 | 2 |
| X-ray cervical spine 4-5 views CPT 72050 | $253.55 | $461.00 | $75.74 – $101.55 | 2 |
| X-ray cervical spine >= 6 views CPT 72052 | $344.30 | $626.00 | $98.57 – $101.55 | 2 |
| X-ray clavicle complete (both sides) CPT 73000 | $179.85 | $327.00 | $50.04 – $84.53 | 2 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $410.85 | $747.00 | $170.37 – $305.07 | 2 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $537.90 | $978.00 | $170.37 – $430.70 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $178.75 | $325.00 | $50.04 – $84.53 | 2 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $203.50 | $370.00 | $58.60 – $84.53 | 2 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $946.16 – $946.16 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $810.49 – $810.49 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $270.60 | $492.00 | $170.37 – $172.81 | 2 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $540.65 | $983.00 | $101.55 – $132.82 | 2 |
| X-ray exam entire spi 6/> vw CPT 72084 | $586.30 | $1,066.00 | $101.55 – $159.48 | 2 |
| X-ray exam of arm infant CPT 73092 | $166.10 | $302.00 | $50.04 – $101.55 | 2 |
| X-ray exam of eye sockets CPT 70200 | $287.10 | $522.00 | $73.83 – $101.55 | 2 |
| X-ray exam of femur 1 CPT 73551 | $89.65 | $163.00 | $51.01 – $84.53 | 2 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $56.71 – $84.53 | 2 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $131.89 – $231.76 | 2 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $65.28 – $101.55 | 2 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $89.07 – $530.75 | 2 |
| X-ray exam of penis CPT 74445 | not published | not published | $101.55 – $106.88 | 2 |
| X-ray exam of perineum CPT 74775 | not published | not published | $141.27 – $231.76 | 2 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $70.04 – $84.53 | 2 |
| X-ray exam of sinuses CPT 70210 | $222.20 | $404.00 | $54.81 – $84.53 | 2 |
| X-ray exam of tear duct CPT 70170 | $217.80 | $396.00 | $93.46 – $231.76 | 2 |
| X-ray exam of teeth CPT 70300 | not published | not published | $23.39 – $84.53 | 2 |
| X-ray exam of teeth CPT 70310 | not published | not published | $79.16 – $231.76 | 2 |
| X-ray exam si joints CPT 72200 | $199.65 | $363.00 | $51.00 – $101.55 | 2 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $73.83 – $101.55 | 2 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $117.70 | $214.00 | $50.04 – $84.53 | 2 |
| X-ray facial bones complete > 3 views CPT 70150 | $250.25 | $455.00 | $73.83 – $101.55 | 2 |
| X-ray fallopian tube CPT 74742 | not published | not published | $153.92 – $153.92 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $102.30 | $186.00 | $60.52 – $84.53 | 2 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $149.05 | $271.00 | $63.37 – $84.53 | 2 |
| X-ray foot 2 views (both sides) CPT 73620 | $248.60 | $452.00 | $47.18 – $84.53 | 2 |
| X-ray forearm 2 views (both sides) CPT 73090 | $161.70 | $294.00 | $45.28 – $84.53 | 2 |
| X-ray hand 2 views (both sides) CPT 73120 | $211.75 | $385.00 | $46.24 – $101.55 | 2 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $24.36 – $84.53 | 2 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $190.85 | $347.00 | $49.10 – $84.53 | 2 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $180.40 | $328.00 | $98.57 – $101.55 | 2 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $132.55 | $241.00 | $74.78 – $101.55 | 2 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $149.60 | $272.00 | $89.07 – $101.55 | 2 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $188.10 | $342.00 | $101.55 – $107.14 | 2 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $89.65 | $163.00 | $53.85 – $84.53 | 2 |
| X-ray humerus >= 2 views left CPT 73060 | $193.05 | $351.00 | $46.24 – $84.53 | 2 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $54.81 – $101.55 | 2 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $94.60 | $172.00 | $51.95 – $84.53 | 2 |
| X-ray knee 3 views (both sides) CPT 73562 | $140.80 | $256.00 | $64.32 – $84.53 | 2 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $61.48 – $84.53 | 2 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $190.85 | $347.00 | $50.04 – $84.53 | 2 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $74.78 – $101.55 | 2 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $253.55 | $461.00 | $86.22 – $101.55 | 2 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $298.10 | $542.00 | $101.55 – $120.46 | 2 |
| X-ray male genital tract CPT 74440 | not published | not published | $162.32 – $231.76 | 2 |
| X-ray mandible complete > 4 views CPT 70110 | $222.20 | $404.00 | $66.23 – $101.55 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | $184.80 | $336.00 | $62.41 – $84.53 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $179.85 | $327.00 | $62.41 – $84.53 | 2 |
| X-ray neck soft tissue CPT 70360 | $100.10 | $182.00 | $51.00 – $84.53 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $101.20 | $184.00 | $44.35 – $84.53 | 2 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $141.39 – $231.76 | 2 |
| X-ray optic foramina CPT 70190 | not published | not published | $62.41 – $84.53 | 2 |
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.