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 |
|---|---|---|---|---|
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $57.30 – $57.30 | 1 |
| Cmptr ophth img optic nerve CPT 92133 | $50.60 | $92.00 | $57.30 – $57.30 | 1 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $24.62 | 4 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $15.40 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $168.30 | $306.00 | $19.56 – $34.23 | 4 |
| Cmv pcr-sendout CPT 87496 | $191.95 | $349.00 | $35.09 – $61.41 | 4 |
| Co2 monitor per day CPT 94681 | not published | not published | $362.46 – $362.46 | 1 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.53 – $6.88 | 6 |
| Coagulation time activated teg CPT 85347 | $32.45 | $59.00 | $4.28 – $7.49 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $7.86 | 4 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $124.98 – $124.98 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $124.98 – $124.98 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.64 – $2.64 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | $51.70 | $94.00 | $8.07 – $14.12 | 4 |
| Cold agglutinin titer CPT 86157 | $61.60 | $112.00 | $8.06 – $14.11 | 4 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $11.94 – $35.83 | 6 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $73.38 – $199.78 | 6 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $95.15 | $173.00 | $129.23 – $2,181.00 | 2 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $165.00 | $300.00 | $129.23 – $2,181.00 | 2 |
| Collection of venous blood by venipuncture CPT 36415 | $46.20 | $84.00 | $3.57 – $15.91 | 4 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $209.73 – $2,181.00 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $903.30 – $4,217.00 | 3 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $903.30 – $4,743.00 | 3 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $903.30 – $4,217.00 | 3 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $903.30 – $4,217.00 | 3 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $4,137.00 – $8,960.00 | 3 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,696.09 – $4,743.00 | 3 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $4,137.00 – $8,960.00 | 3 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $4,743.00 – $8,701.00 | 3 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $4,859.04 – $10,137.00 | 3 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $8,701.00 – $8,960.00 | 2 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $7,202.85 – $16,164.00 | 3 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $7,202.85 – $16,164.00 | 3 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $4,859.04 – $8,701.00 | 2 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,496.00 | $2,720.00 | $3,144.33 – $8,701.00 | 3 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $894.65 – $4,217.00 | 3 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $196.38 – $4,217.00 | 3 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $196.38 – $4,217.00 | 3 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $295.99 – $4,217.00 | 3 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $295.99 – $4,217.00 | 3 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $70.95 | $129.00 | $42.31 – $165.49 | 2 |
| Compatibility test each unit electronic CPT 86923 | $103.95 | $189.00 | $31.82 – $165.49 | 2 |
| Compatibility test each unit immediate spin technique CPT 86920 | $100.65 | $183.00 | $39.57 – $165.49 | 2 |
| Compatibility test incubate CPT 86921 | not published | not published | $35.69 – $165.49 | 2 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $677.31 – $9,837.00 | 3 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $677.31 – $9,837.00 | 3 |
| Complement antigen each component c3 CPT 86160 | $110.00 | $200.00 | $12.00 – $21.00 | 4 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $17.52 | 4 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $242.69 – $9,837.00 | 3 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | not published | not published | $394.86 – $4,217.00 | 3 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $717.88 – $4,217.00 | 3 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $209.73 – $9,837.00 | 3 |
| Compl oph exam general anes CPT 92018 | not published | not published | $2,309.33 – $8,701.00 | 2 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $717.88 – $4,217.00 | 3 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $738.10 | $1,342.00 | $717.88 – $4,217.00 | 3 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Complx repair fccmnaxghf 13131 CPT 13131 | not published | not published | $394.86 – $4,217.00 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $193.60 | $352.00 | $394.86 – $4,217.00 | 3 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $186.45 | $339.00 | $2,181.00 – $9,837.00 | 2 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $110.55 | $201.00 | $2,181.00 – $9,837.00 | 2 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $717.88 – $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.