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 |
|---|---|---|---|---|
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $23.13 – $62.96 | 6 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $1,480.97 | 4 |
| Cad breast MRI w/r&i HCPCS C8937 | $785.95 | $1,429.00 | not published | 0 |
| Cadd pump refill CPT 96521 | $238.70 | $434.00 | $206.61 – $206.61 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $5.53 – $5.53 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $76.53 – $208.35 | 6 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $1,485.13 – $4,661.66 | 2 |
| Calcium 24 hour urine CPT 82340 | $46.38 | $84.33 | $6.03 – $10.55 | 4 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.08 – $0.08 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.05 – $0.14 | 6 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.08 – $0.23 | 6 |
| Calcium ionized CPT 82330 | $166.10 | $302.00 | $13.68 – $23.94 | 4 |
| Calcium total CPT 82310 | $33.00 | $60.00 | $5.16 – $9.03 | 4 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $22.52 | 4 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $20.27 | 4 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $209.73 – $209.73 | 1 |
| Calprotectin fecal CPT 83993 | $149.05 | $271.00 | $19.63 – $34.35 | 4 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.12 – $22.96 | 4 |
| Canakinumab injection HCPCS J0638 | not published | not published | $136.56 – $371.78 | 6 |
| Candida dna CPT 87480 | not published | not published | $20.05 – $35.09 | 4 |
| Candida skin test CPT 86485 | $80.30 | $146.00 | $22.51 – $28.09 | 2 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $6,015.54 | $10,937.34 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $682.26 – $1,857.45 | 6 |
| Canthotomy 67715 CPT 67715 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.05 – $0.20 | 6 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.38 – $9.21 | 6 |
| Capsular contracture release CPT 23020 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Cap trach decann 15mm HCPCS C1750 | $360.67 | $655.76 | not published | 0 |
| Carbamazepine free CPT 80157 | not published | not published | $13.25 – $23.19 | 4 |
| Carbamazepine free -sendout CPT 80161 | $85.80 | $156.00 | $18.64 – $32.62 | 4 |
| Carbamazepine total therapeutic drug level CPT 80156 | $300.30 | $546.00 | $14.57 – $25.50 | 4 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $235.77 – $641.88 | 6 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $18.06 – $31.61 | 4 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $9.63 | 4 |
| Carbon dioxide CPT 82374 | $28.05 | $51.00 | $4.88 – $8.54 | 4 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.93 – $8.79 | 6 |
| Carboxyhemoglobin quantitative CPT 82375 | $80.85 | $147.00 | $12.32 – $21.56 | 4 |
| Carcinoembryonic ag (cea) CPT 82378 | $140.25 | $255.00 | $18.96 – $33.18 | 4 |
| Cardiac drug stress test CPT 93024 | not published | not published | $433.92 – $433.92 | 1 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $530.75 – $530.75 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $530.75 – $530.75 | 1 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $530.75 – $769.44 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $1,022.36 – $1,257.53 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $706.82 – $1,257.53 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,573.00 | $2,860.00 | $759.74 – $1,257.53 | 2 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $227.70 | $414.00 | $125.21 – $125.21 | 1 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $154.55 | $281.00 | $125.21 – $125.21 | 1 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $388.31 – $395.66 | 2 |
| Cardiokymography HCPCS Q0035 | not published | not published | $32.75 – $36.28 | 2 |
| Cardiolipin antibody iga CPT 86147 | $174.35 | $317.00 | $25.45 – $44.54 | 4 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $914.65 | $1,663.00 | $642.00 – $3,420.00 | 2 |
| Cardioversion/elective/internal 92961 CPT 92961 | $1,408.00 | $2,560.00 | $642.00 – $3,420.00 | 2 |
| Card MRI veloc flow mapping CPT 75565 | $2,602.60 | $4,732.00 | $113.82 – $113.82 | 1 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $39.26 – $39.26 | 1 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $20.92 – $20.92 | 1 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $51.85 – $141.16 | 6 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $1,023.58 | 4 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $1,023.58 | 4 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $145.60 – $396.40 | 6 |
| Carotene CPT 82380 | not published | not published | $9.22 – $16.14 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $849.20 | $1,544.00 | $231.76 – $231.76 | 1 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Car seat/bed test 60 minutes CPT 94780 | $66.00 | $120.00 | $36.28 – $36.28 | 1 |
| Car seat/bed test additional 30 minutes CPT 94781 | $33.00 | $60.00 | not published | 0 |
| Car-t admn autologous CPT 38228 | not published | not published | $320.84 – $320.84 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $903.30 – $4,217.00 | 3 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $3.34 – $10.01 | 6 |
| Cataract Surgery CPT 66984 | $3,117.95 | $5,669.00 | $2,241.66 – $8,701.00 | 3 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,241.66 – $8,701.00 | 3 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.30 – $47.78 | 4 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $349.00 | $634.54 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $118.59 | $215.62 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $768.14 | $1,396.62 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $8,723.55 | $15,861.00 | $3,148.99 – $15,012.00 | 3 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $369.04 | $670.99 | not published | 0 |
| Catheter declot mechanical CPT 36596 | not published | not published | $1,529.03 – $4,743.00 | 3 |
| Catheter insert artery CPT 36625 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $18.15 | $33.00 | $3.57 – $15.91 | 4 |
| Catheter stripping venous CPT 36595 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $405.00 | $736.37 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $1,833.86 | $3,334.29 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $591.25 | $1,075.00 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $242.69 – $4,217.00 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $118.25 | $215.00 | $2,181.00 – $9,837.00 | 2 |
| Cath left heart/lv gram CPT 93452 | $4,282.30 | $7,786.00 | $3,148.99 – $15,012.00 | 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.