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 |
|---|---|---|---|---|
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,208.09 – $8,701.00 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,423.93 – $8,433.00 | 3 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,030.46 – $4,743.00 | 3 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $3,109.15 | $5,653.00 | $2,030.46 – $8,701.00 | 3 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cystouretero & or pyeloscope CPT 52351 | $1,405.80 | $2,556.00 | $3,423.93 – $8,701.00 | 3 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $2,030.46 – $4,743.00 | 3 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $2,181.00 – $8,433.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $2,181.00 – $8,433.00 | 2 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.81 – $2.44 | 6 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.38 – $74.17 | 4 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $71.23 | 4 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $2,030.00 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $1,575.00 | 4 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $117.15 | $213.00 | $14.39 – $25.18 | 4 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $122.10 | $222.00 | $16.85 – $29.49 | 4 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $23.49 | 4 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,812.01 – $4,933.20 | 6 |
| Cyto/molecular report CPT 88291 | not published | not published | $37.81 – $37.81 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $44.40 | 4 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $25.64 | 4 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $28.09 – $54.84 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $381.70 | $694.00 | $44.36 – $50.62 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $46.57 | 4 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $72.05 | $131.00 | $20.26 – $35.46 | 4 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $152.90 | $278.00 | $36.28 – $47.85 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $36.28 – $45.52 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $82.50 | $150.00 | $8.15 – $8.15 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $114.95 | $209.00 | $21.85 – $165.49 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $402.60 | $732.00 | $50.62 – $99.06 | 2 |
| Cytopath smear other source CPT 88160 | $226.05 | $411.00 | $28.09 – $52.51 | 2 |
| Cytopath smear other source CPT 88162 | not published | not published | $50.62 – $84.85 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $226.05 | $411.00 | $28.09 – $55.23 | 2 |
| Cytopath tbs c/v manual CPT 88164 | $70.40 | $128.00 | $18.54 – $31.83 | 4 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $137.64 | 4 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $51.94 | 4 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $165.49 – $443.68 | 2 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.50 – $13.51 | 6 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $288.80 – $786.26 | 6 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $11.29 – $42.39 | 6 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $16.04 – $48.13 | 6 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.10 | 6 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.15 | 6 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $52.99 – $144.26 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.92 – $7.95 | 6 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.92 – $7.95 | 6 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $249.02 – $677.95 | 6 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $26.40 – $79.19 | 6 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $194.88 – $2,181.00 | 2 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Dch glucoscan CPT 82948 | $24.20 | $44.00 | $5.04 – $8.82 | 4 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $362.46 – $362.46 | 1 |
| Dch validity tests CPT 81002 | $19.80 | $36.00 | $3.48 – $6.09 | 4 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,896.75 – $10,137.00 | 3 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $18.70 | $34.00 | $12.05 – $21.09 | 4 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $4,217.00 – $4,217.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $394.86 – $4,217.00 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $183.15 | $333.00 | $2,181.00 – $2,181.00 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,632.40 | $2,968.00 | $1,604.25 – $4,743.00 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $244.20 | $444.00 | $2,181.00 – $9,837.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $509.85 | $927.00 | $394.86 – $4,217.00 | 3 |
| Debride nail1-5 11720 CPT 11720 | $81.95 | $149.00 | $57.30 – $4,217.00 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $476.30 | $866.00 | $57.30 – $4,217.00 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $687.83 – $4,217.00 | 3 |
| Debride skin bone at fx site CPT 11012 | $425.15 | $773.00 | $2,821.44 – $8,433.00 | 3 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $4,217.00 – $4,217.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $4,217.00 – $4,217.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $158.95 | $289.00 | $2,181.00 – $9,837.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $194.88 – $4,217.00 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $687.83 – $4,217.00 | 3 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $763.40 | $1,388.00 | $717.88 – $4,217.00 | 3 |
| Decalcification CPT 88311 | $90.75 | $165.00 | $9.43 – $9.43 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.77 – $5.30 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $466.95 | $849.00 | $320.84 – $2,181.00 | 2 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,178.20 – $10,137.00 | 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.