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 |
|---|---|---|---|---|
| Co-treatment - group 15 mins, st CPT 92508 | $67.65 | $123.00 | $23.28 – $23.28 | 1 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $98.68 – $98.68 | 1 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $82.26 | $149.56 | not published | 0 |
| Cover eye w/membrane CPT 65778 | not published | not published | $968.30 – $4,743.00 | 3 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $56.65 | $103.00 | $39.47 – $39.47 | 1 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $858.55 | $1,561.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $858.55 | $1,561.00 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $51.31 – $89.79 | 4 |
| #covid19rsv-rsv CPT 87634 | $132.55 | $241.00 | $70.20 – $122.85 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $88.55 | $161.00 | $13.03 – $22.80 | 4 |
| C-peptide CPT 84681 | $146.85 | $267.00 | $20.81 – $36.42 | 4 |
| Cptrized corneal topography CPT 92025 | not published | not published | $57.30 – $57.30 | 1 |
| Cptr ophth dx img post segmt CPT 92134 | $52.25 | $95.00 | $57.30 – $57.30 | 1 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $209.73 – $209.73 | 1 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $1,147.46 – $1,917.96 | 2 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,658.25 | $3,015.00 | $527.40 – $845.37 | 2 |
| C-reactive protein CPT 86140 | $57.20 | $104.00 | $5.18 – $9.07 | 4 |
| C-reactive protein high sensitivity CPT 86141 | $76.45 | $139.00 | $12.95 – $22.66 | 4 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $10.64 – $18.62 | 4 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Create eardrum opening CPT 69436 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Create passage to kidney CPT 52334 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Create tear duct drain CPT 68745 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Create tear duct drain CPT 68750 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Create tear sac drain CPT 68720 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Creatine isoforms CPT 82554 | not published | not published | $11.87 – $20.77 | 4 |
| Creatine kinase CPT 82550 | $40.15 | $73.00 | $6.51 – $11.39 | 4 |
| Creatine kinase isoenzymes CPT 82552 | $111.10 | $202.00 | $13.39 – $23.43 | 4 |
| Creatine kinase mb CPT 82553 | $72.60 | $132.00 | $11.55 – $20.21 | 4 |
| Creatine - sendout CPT 82540 | $240.62 | $437.50 | $4.64 – $8.12 | 4 |
| Creatinine CPT 82565 | $30.25 | $55.00 | $5.12 – $8.96 | 4 |
| Creatinine 24 hour urine CPT 82570 | $240.62 | $437.50 | $5.18 – $9.07 | 4 |
| Creatinine clearance urine CPT 82575 | $183.15 | $333.00 | $9.46 – $16.56 | 4 |
| #creutz-prot.,western blot CPT 84182 | $968.00 | $1,760.00 | $29.21 – $51.12 | 4 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Cricotracheal resection CPT 31592 | not published | not published | $5,750.12 – $15,012.00 | 2 |
| Crisis psychotherapy 90839 CPT 90839 | $301.95 | $549.00 | $172.41 – $172.41 | 1 |
| Critical care 30-74 minutes CPT 99291 | $1,837.00 | $3,340.00 | $802.35 – $802.35 | 1 |
| Critical care each additional 30 minutes CPT 99292 | $918.50 | $1,670.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $129.50 – $352.57 | 6 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $14,758.00 – $17,116.00 | 2 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.28 – $0.88 | 6 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,755.81 – $4,780.20 | 6 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $9,195.08 – $25,004.00 | 3 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $295.99 – $4,217.00 | 3 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $129.80 | $236.00 | $14.14 – $24.75 | 4 |
| Cryoprecipitate each unit HCPCS P9012 | $132.55 | $241.00 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $782.58 – $782.58 | 1 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $165.49 – $165.49 | 1 |
| Cryopreservation sperm CPT 89259 | not published | not published | $165.49 – $165.49 | 1 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $428.53 – $4,217.00 | 3 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $50.62 – $50.62 | 1 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,803.19 – $10,137.00 | 3 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $194.88 – $4,217.00 | 3 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $57.30 – $4,217.00 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.41 – $25.22 | 4 |
| Cryptosporidium antigen CPT 87272 | $88.55 | $161.00 | $11.98 – $20.97 | 4 |
| Crystal identification light microscopy CPT 89060 | $130.90 | $238.00 | $7.33 – $12.83 | 4 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Csf leakage imaging CPT 78650 | not published | not published | $839.68 – $1,257.53 | 2 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $298.33 – $4,217.00 | 3 |
| Csf ventriculography CPT 78635 | not published | not published | $527.40 – $855.85 | 2 |
| CT 3d report other modality w/workstation CPT 76377 | $1,006.50 | $1,830.00 | $64.32 – $64.32 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,882.10 | $3,422.00 | $170.37 – $572.10 | 2 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,165.80 | $5,756.00 | $170.37 – $688.75 | 2 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $265.65 | $483.00 | $170.37 – $680.57 | 2 |
| Cta neck without &/or w/contrast CPT 70498 | $1,760.55 | $3,201.00 | $170.37 – $545.44 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,791.80 | $5,076.00 | $338.87 – $738.61 | 2 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,955.80 | $3,556.00 | $170.37 – $552.10 | 2 |
| CT Angiogram of the Head CPT 70496 | $1,635.70 | $2,974.00 | $170.37 – $549.24 | 2 |
| CT angio hrt w/3d image CPT 75574 | $1,464.10 | $2,662.00 | $338.87 – $796.67 | 2 |
| CT angio pelvis CPT 72191 | $1,696.75 | $3,085.00 | $170.37 – $566.36 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,266.00 | $4,120.00 | $170.37 – $626.34 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $84.53 – $269.86 | 2 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $170.37 – $170.37 | 1 |
| CT colonography dx CPT 74261 | $1,877.70 | $3,414.00 | $101.55 – $968.90 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $170.37 – $1,108.79 | 2 |
| CT colonography screening CPT 74263 | $1,437.70 | $2,614.00 | $231.76 – $1,705.45 | 2 |
| CT guidance for needle placement CPT 77012 | $1,604.35 | $2,917.00 | $177.57 – $177.57 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $590.70 | $1,074.00 | $164.25 – $164.25 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | $18.70 | $34.00 | $239.60 – $13,723.00 | 3 |
| CT guid parench tis ablat CPT 77013 | $1,893.10 | $3,442.00 | $948.01 – $948.01 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $55.00 | $100.00 | $84.53 – $189.92 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $338.87 – $699.60 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $338.87 – $523.57 | 2 |
| CT limited or localized follow-up study CPT 76380 | $394.90 | $718.00 | $84.53 – $258.45 | 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.