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 |
|---|---|---|---|---|
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Comprehensive hearing test CPT 92557 | $181.50 | $330.00 | $124.98 – $124.98 | 1 |
| Compre oph exam est pt 1/> CPT 92014 | $97.90 | $178.00 | $129.32 – $129.32 | 1 |
| Compre oph exam new pt 1/> CPT 92004 | $125.95 | $229.00 | $129.32 – $129.32 | 1 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $338.87 – $338.87 | 1 |
| Concentration infection agents any type CPT 87015 | $47.30 | $86.00 | $6.68 – $11.69 | 4 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $124.98 – $124.98 | 1 |
| Condylomata destruction 56420 CPT 56420 | $121.55 | $221.00 | $196.38 – $4,217.00 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Conization of cervix CPT 57520 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $382.89 – $1,042.42 | 6 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Construction of vagina CPT 57291 | not published | not published | $4,743.00 – $8,701.00 | 3 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Construct vagina with graft CPT 57292 | not published | not published | $4,859.04 – $10,137.00 | 3 |
| Consultation pathology during surgery CPT 88329 | $177.10 | $322.00 | $40.50 – $57.30 | 2 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $228.80 | $416.00 | $36.61 – $782.58 | 2 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $287.10 | $522.00 | $27.28 – $27.28 | 1 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $436.15 | $793.00 | $46.30 – $165.49 | 2 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $235.95 | $429.00 | $30.39 – $50.62 | 2 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $414.70 | $754.00 | $36.28 – $95.79 | 2 |
| Consult comp w/report rfrd material CPT 88325 | $1,045.00 | $1,900.00 | $155.74 – $165.49 | 2 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $433.92 – $433.92 | 1 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $129.23 – $129.23 | 1 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Contour of face bone lesion CPT 21029 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Contrast baths charges CPT 97034 | $75.35 | $137.00 | $13.52 – $13.52 | 1 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,781.35 | $5,057.00 | $218.47 – $3,066.96 | 2 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $464.00 – $3,066.96 | 2 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $1,665.40 | $3,028.00 | $219.44 – $5,404.97 | 2 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $142.34 – $170.37 | 2 |
| Contrast x-ray of ankle CPT 73615 | $796.95 | $1,449.00 | $184.23 – $338.87 | 2 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $188.23 – $338.87 | 2 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $249.88 – $761.45 | 2 |
| Contrast x-ray of elbow CPT 73085 | $582.45 | $1,059.00 | $185.18 – $338.87 | 2 |
| Contrast x-ray of hip CPT 73525 | $612.15 | $1,113.00 | $192.80 – $338.87 | 2 |
| Contrast x-ray of knee joint CPT 73580 | $939.95 | $1,709.00 | $229.89 – $338.87 | 2 |
| Contrast x-ray of wrist CPT 73115 | $514.80 | $936.00 | $208.01 – $338.87 | 2 |
| Controller infinity pt dbs HCPCS C1787 | $1,070.16 | $1,945.75 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $201.30 | $366.00 | $129.23 – $4,217.00 | 3 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $3,220.41 – $4,743.00 | 3 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $230.06 – $4,217.00 | 3 |
| Control of nosebleed ant comp 30903 CPT 30903 | $249.70 | $454.00 | $129.23 – $4,217.00 | 3 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $248.05 | $451.00 | $129.23 – $4,217.00 | 3 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $523.87 – $4,217.00 | 3 |
| Control throat bleeding CPT 42961 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Conversion ext bil drg cath CPT 47535 | $2,527.80 | $4,596.00 | $3,477.76 – $10,137.00 | 3 |
| Convert nephrostomy catheter CPT 50434 | $3,543.10 | $6,442.00 | $2,030.46 – $4,743.00 | 3 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Coombs direct CPT 86880 | $47.30 | $86.00 | $6.42 – $14.82 | 4 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $44.55 | $81.00 | $6.80 – $15.73 | 4 |
| Coombs indirect titer reference CPT 86886 | $66.55 | $121.00 | $6.17 – $14.25 | 4 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $594.28 – $1,620.17 | 2 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $3,718.94 – $3,718.94 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $1,837.50 | 4 |
| Core ndl bx lng/med perq CPT 32408 | $2,237.40 | $4,068.00 | $1,604.25 – $4,137.00 | 2 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $7,048.20 – $13,723.00 | 3 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $57.30 – $57.30 | 1 |
| Corneal smear CPT 65430 | not published | not published | $433.92 – $4,217.00 | 3 |
| Corneal transplant CPT 65710 | not published | not published | $5,168.76 – $15,012.00 | 3 |
| Corneal transplant CPT 65730 | not published | not published | $4,014.93 – $15,012.00 | 3 |
| Corneal transplant CPT 65750 | not published | not published | $5,168.76 – $15,012.00 | 3 |
| Corneal transplant CPT 65755 | not published | not published | $4,014.93 – $15,012.00 | 3 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $4,014.93 – $15,012.00 | 3 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $2,690.19 | $4,891.25 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $9,953.35 | $18,097.00 | $3,148.99 – $15,012.00 | 3 |
| Coronary angio/lv gram/lt heart CPT 93458 | $9,121.20 | $16,584.00 | $3,148.99 – $15,012.00 | 3 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,395.00 | $18,900.00 | $3,148.99 – $15,012.00 | 3 |
| Coronary art/grft angio s&i CPT 93455 | $7,688.45 | $13,979.00 | $3,148.99 – $15,012.00 | 3 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,194.00 | $13,080.00 | $3,148.99 – $15,012.00 | 3 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $684.20 | $1,244.00 | $2,181.00 – $2,181.00 | 1 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Correct finger deformity CPT 26567 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $3,803.19 – $10,137.00 | 3 |
| Correction claw finger other CPT 26499 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $3,178.20 – $10,137.00 | 2 |
| Correction of astigmatism CPT 65772 | not published | not published | $968.30 – $4,743.00 | 3 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $308.31 – $4,217.00 | 3 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $129.23 – $4,217.00 | 3 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $968.30 – $4,743.00 | 3 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Correct rectal prolapse CPT 45541 | not published | not published | $2,696.09 – $10,137.00 | 3 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $717.88 – $4,217.00 | 3 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $32.62 – $57.09 | 4 |
| Cortisol total am CPT 82533 | $146.85 | $267.00 | $16.30 – $28.53 | 4 |
| Costotransversectomy CPT 21610 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | not published | not published | $33.40 – $100.19 | 6 |
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.