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 |
|---|---|---|---|---|
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,561.89 – $10,137.00 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Decompression of leg CPT 27892 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Decompression of leg CPT 27893 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Decompression of leg CPT 27894 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,561.89 – $10,137.00 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,048.20 – $13,723.00 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Decompressive craniotomy CPT 61322 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Decompress small bowel CPT 44021 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $8.21 – $24.62 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.36 – $11.86 | 6 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $7,939.08 – $17,116.00 | 3 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,004.13 – $8,701.00 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $129.32 – $129.32 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $212.70 – $212.70 | 1 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $27.81 – $75.72 | 6 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $118.80 | $216.00 | $129.23 – $4,217.00 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $42.32 – $126.97 | 6 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,821.44 – $4,743.00 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $687.83 – $4,217.00 | 3 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $394.86 – $4,217.00 | 3 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Dermagraft HCPCS Q4106 | not published | not published | $138.68 – $138.68 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,004.13 – $9,837.00 | 2 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,004.13 – $8,701.00 | 3 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $3,803.19 – $10,137.00 | 3 |
| Design mlc device for imrt CPT 77338 | not published | not published | $363.70 – $752.68 | 2 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.49 – $13.46 | 6 |
| Desoxycorticosterone CPT 82633 | $96.80 | $176.00 | $30.98 – $54.22 | 4 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $194.88 – $4,217.00 | 3 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $194.88 – $4,217.00 | 3 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,378.75 | $4,325.00 | $1,896.75 – $8,701.00 | 3 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,658.25 | $3,015.00 | $2,181.00 – $9,837.00 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $96.80 | $176.00 | $194.88 – $4,217.00 | 3 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $194.88 – $4,217.00 | 3 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $717.88 – $4,217.00 | 3 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $394.86 – $4,217.00 | 3 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Destruction 2-14 lesions 17003 CPT 17003 | $209.00 | $380.00 | $2,181.00 – $9,837.00 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $394.86 – $4,217.00 | 3 |
| Destruction benign lesions < 14 lesions CPT 17110 | $130.90 | $238.00 | $194.88 – $4,217.00 | 3 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $859.12 – $4,217.00 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,896.95 | $3,449.00 | $2,181.00 – $9,837.00 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,203.65 | $7,643.00 | $1,896.75 – $8,701.00 | 3 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,241.66 – $4,743.00 | 3 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $194.88 – $4,217.00 | 3 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $394.86 – $4,217.00 | 3 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $394.86 – $4,217.00 | 3 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $394.86 – $4,217.00 | 3 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $394.86 – $4,217.00 | 3 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $394.86 – $4,217.00 | 3 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,004.13 – $4,743.00 | 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.