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 |
|---|---|---|---|---|
| Cath left heart transseptal punc CPT 93462 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Cath lt/rt pulm art CPT 36014 | $944.90 | $1,718.00 | $2,181.00 – $9,837.00 | 2 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $711.87 | $1,294.31 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $932.80 | $1,696.00 | $2,181.00 – $9,837.00 | 2 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $11,183.15 | $20,333.00 | $3,148.99 – $15,012.00 | 3 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $9,348.35 | $16,997.00 | $3,148.99 – $15,012.00 | 3 |
| Cath plc art/grft/angio right hrt CPT 93457 | $10,714.55 | $19,481.00 | $3,148.99 – $15,012.00 | 3 |
| Cath right heart w/o2 sat & card CPT 93451 | $5,437.30 | $9,886.00 | $3,148.99 – $15,012.00 | 3 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $820.60 | $1,492.00 | $2,181.00 – $9,837.00 | 2 |
| Cath segmntl pulm art CPT 36015 | $1,103.85 | $2,007.00 | $2,181.00 – $9,837.00 | 2 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $404.04 – $404.04 | 1 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $213.82 | $388.76 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $194.88 – $4,217.00 | 3 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| #cbg+cort-cbg CPT 84449 | $66.55 | $121.00 | $18.00 – $31.50 | 4 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $362.79 | 4 |
| Cdna analysis for variants CPT 81403 | $816.75 | $1,485.00 | $185.20 – $324.10 | 4 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $129.23 – $129.23 | 1 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $129.23 – $129.23 | 1 |
| Cebpa gene full sequence CPT 81218 | $917.40 | $1,668.00 | $241.90 – $423.33 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $0.83 – $2.48 | 6 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $1.20 – $3.60 | 6 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $19.39 – $19.39 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $5.01 – $15.03 | 6 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.99 – $10.86 | 6 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.60 – $4.80 | 6 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $100.50 – $273.62 | 6 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.49 – $1.48 | 6 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $2.01 – $6.04 | 6 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $165.80 | 4 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $109.13 – $190.98 | 4 |
| Cell count body fluid CPT 89050 | not published | not published | $4.72 – $8.26 | 4 |
| Cell count w differential body fluid CPT 89051 | $204.60 | $372.00 | $5.60 – $9.80 | 4 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $22.87 | 4 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $438.87 | 4 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $237.76 | 4 |
| Cell marker study CPT 88182 | $148.50 | $270.00 | $50.62 – $123.12 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $28.92 – $78.74 | 6 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $13,218.56 – $13,218.56 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Cerebrospinal fld flw imag CPT 78645 | $1,563.65 | $2,843.00 | $527.40 – $817.77 | 2 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.44 – $10.84 | 6 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,449.81 – $16,164.00 | 3 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $52.25 | $95.00 | $98.68 – $98.68 | 1 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $77.52 – $211.05 | 6 |
| #cf-97variants CPT 81220 | $245.85 | $447.00 | $556.60 – $974.05 | 4 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $761.37 | 4 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $295.31 | 4 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $170.14 | 4 |
| Change cystostomy tube; complex 51710 CPT 51710 | $936.10 | $1,702.00 | $677.31 – $4,217.00 | 3 |
| Change cystostomy tube simple CPT 51705 | $232.65 | $423.00 | $242.69 – $4,217.00 | 3 |
| Change gastric port open CPT 43888 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Change nephroureteral cath CPT 50387 | $1,201.20 | $2,184.00 | $2,030.46 – $4,743.00 | 3 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $2,030.46 – $4,743.00 | 3 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $230.06 – $4,217.00 | 3 |
| Change stent via transureth CPT 50385 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Change ureter stent percut CPT 50382 | $1,097.25 | $1,995.00 | $2,030.46 – $8,701.00 | 3 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $68.83 – $165.49 | 2 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $194.88 – $4,217.00 | 3 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $394.86 – $4,217.00 | 3 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $394.86 – $4,217.00 | 3 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $717.88 – $4,217.00 | 3 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $320.84 – $320.84 | 1 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $685.65 – $4,217.00 | 3 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $685.65 – $4,217.00 | 3 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $915.20 | $1,664.00 | $685.65 – $4,217.00 | 3 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $298.15 – $4,217.00 | 3 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $308.31 – $4,217.00 | 3 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $298.15 – $4,217.00 | 3 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $298.15 – $4,217.00 | 3 |
| Chemodenerv musc migraine 64615 CPT 64615 | $296.45 | $539.00 | $298.15 – $4,217.00 | 3 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $298.15 – $4,217.00 | 3 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $298.15 – $4,217.00 | 3 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $685.65 – $4,217.00 | 3 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $685.65 – $4,217.00 | 3 |
| Chemo extend IV infus w/pump HCPCS G0498 | $544.50 | $990.00 | $320.84 – $320.84 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $45.48 – $45.48 | 1 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $320.84 – $320.84 | 1 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $320.84 – $320.84 | 1 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $206.61 – $206.61 | 1 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $69.94 – $69.94 | 1 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $27.98 | 4 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $320.84 – $320.84 | 1 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $320.84 – $320.84 | 1 |
| Chest 2 vws w oblique CPT 71048 | $520.30 | $946.00 | $68.06 – $101.55 | 2 |
| Chest apical lordotic proj CPT 71047 | $130.90 | $238.00 | $66.13 – $84.53 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,300.65 | $4,183.00 | $170.37 – $545.83 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $1,955.80 | $3,556.00 | $170.37 – $442.11 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $1,557.05 | $2,831.00 | $101.55 – $341.23 | 2 |
| Chest X-ray CPT 71046 | $106.70 | $194.00 | $51.83 – $84.53 | 2 |
| Chest X-ray (single view) CPT 71045 | $75.90 | $138.00 | $28.01 – $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.