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 |
|---|---|---|---|---|
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $8.15 – $24.44 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.61 – $1.83 | 6 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $46.29 – $140.53 | 6 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $9.69 – $9.69 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $391.41 – $391.41 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.71 – $2.13 | 6 |
| Doppler echo complete CPT 93320 | $374.00 | $680.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,764.40 | $3,208.00 | $2,181.00 – $2,181.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $754.60 | $1,372.00 | $209.73 – $209.73 | 1 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $63.80 | $116.00 | $129.23 – $129.23 | 1 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.77 – $1.77 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $53.59 – $160.76 | 6 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.14 – $653.78 | 6 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.15 – $9.46 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $116.60 – $409.50 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.12 – $0.36 | 5 |
| Dpyd gene common variants CPT 81232 | $673.75 | $1,225.00 | $174.81 – $305.92 | 4 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $947.65 | $1,723.00 | $687.83 – $4,217.00 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $592.90 | $1,078.00 | $687.83 – $4,217.00 | 3 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Drainage external ear simple 69000 CPT 69000 | $342.10 | $622.00 | $687.83 – $4,217.00 | 3 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,821.44 – $4,743.00 | 3 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Drainage mouth roof lesion CPT 42000 | $337.15 | $613.00 | $230.06 – $4,217.00 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $1,395.35 | $2,537.00 | $1,604.25 – $4,743.00 | 3 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Drainage of eye CPT 65800 | not published | not published | $2,181.00 – $4,743.00 | 3 |
| Drainage of eye CPT 65810 | not published | not published | $2,241.66 – $8,701.00 | 3 |
| Drainage of eye CPT 65815 | not published | not published | $2,241.66 – $8,701.00 | 3 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Drainage of kidney lesion CPT 50390 | $1,343.65 | $2,443.00 | $687.83 – $4,217.00 | 3 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $230.06 – $4,217.00 | 3 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,220.41 – $4,743.00 | 3 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $523.87 – $4,217.00 | 3 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $523.87 – $4,217.00 | 3 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,220.41 – $4,743.00 | 3 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Drainage of nose lesion int 30000 CPT 30000 | $367.40 | $668.00 | $230.06 – $4,217.00 | 3 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $523.87 – $4,217.00 | 3 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Drainage of pelvis lesion 26990 CPT 26990 | $4,144.80 | $7,536.00 | $3,178.20 – $8,701.00 | 3 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,696.09 – $4,743.00 | 3 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Drainage of salivary gland CPT 42320 | not published | not published | $523.87 – $4,217.00 | 3 |
| Drainage of throat abscess CPT 42725 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $677.31 – $8,701.00 | 3 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $834.12 – $4,743.00 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $131.45 | $239.00 | $129.23 – $4,217.00 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $4,387.90 | $7,978.00 | $1,604.25 – $4,743.00 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $2,158.75 | $3,925.00 | $1,604.25 – $4,743.00 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $685.65 – $4,217.00 | 3 |
| Drain chest lesion CPT 21502 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $198.55 | $361.00 | $194.88 – $4,217.00 | 3 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,687.20 | $6,704.00 | $2,821.44 – $8,701.00 | 3 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $397.65 | $723.00 | $194.88 – $4,217.00 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $115.50 | $210.00 | $194.88 – $4,217.00 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $394.86 – $4,217.00 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $448.80 | $816.00 | $717.88 – $4,217.00 | 3 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $50.48 – $137.43 | 6 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | $505.45 | $919.00 | $308.31 – $4,217.00 | 3 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $687.83 – $4,217.00 | 3 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $523.87 – $4,217.00 | 3 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,663.75 | $3,025.00 | $1,604.25 – $4,743.00 | 3 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,541.10 | $2,802.00 | $8,433.00 – $8,433.00 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $8,960.00 – $10,137.00 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | $4,119.50 | $7,490.00 | $8,433.00 – $8,433.00 | 1 |
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.