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 |
|---|---|---|---|---|
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $755.15 | $1,373.00 | $231.76 – $231.76 | 1 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $22.16 | 4 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,241.66 – $8,701.00 | 3 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.20 – $122.00 | 5 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,189.49 – $17,587.43 | 6 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $23.65 | $43.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $209.73 – $209.73 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $362.46 – $362.46 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $834.12 – $834.12 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $362.46 – $362.46 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $194.70 | $354.00 | $209.73 – $209.73 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $209.73 – $209.73 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $209.73 – $209.73 | 1 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $209.73 – $209.73 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $209.73 – $209.73 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $209.73 – $209.73 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $362.46 – $362.46 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $362.46 – $362.46 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $209.73 – $209.73 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $362.46 – $362.46 | 1 |
| E equine encephalitis igg CPT 86652 | $86.35 | $157.00 | $13.19 – $23.08 | 4 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.38 – $88.16 | 6 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $5,896.86 – $10,137.00 | 3 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $10,137.00 – $16,164.00 | 3 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $880.98 – $4,217.00 | 3 |
| Egd guide wire insertion CPT 43248 | not published | not published | $880.98 – $4,217.00 | 3 |
| Egd injection varices CPT 43243 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,863.90 – $8,433.00 | 3 |
| Egd remove foreign body CPT 43247 | not published | not published | $880.98 – $4,217.00 | 3 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd varices ligation CPT 43244 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $5,896.86 – $8,701.00 | 3 |
| Egfr gene com variants CPT 81235 | $1,138.50 | $2,070.00 | $324.58 – $568.02 | 4 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $100.65 | $183.00 | $35.09 – $61.41 | 4 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $298.33 – $4,217.00 | 3 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.23 – $11.23 | 1 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $298.33 – $4,217.00 | 3 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $298.33 – $4,217.00 | 3 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $46.01 – $4,217.00 | 3 |
| Electrical stimulation/unattended 97014 CPT 97014 | $67.65 | $123.00 | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $124.98 – $124.98 | 1 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $834.12 – $834.12 | 1 |
| Electrode stimulation brain CPT 95961 | not published | not published | $834.12 – $834.12 | 1 |
| Electroejaculation CPT 55870 | not published | not published | $894.65 – $4,217.00 | 3 |
| Electrogastrography CPT 91132 | not published | not published | $209.73 – $2,181.00 | 2 |
| Electrogastrography w/test CPT 91133 | not published | not published | $129.23 – $2,181.00 | 2 |
| Electrolyte panel CPT 80051 | $57.20 | $104.00 | $7.01 – $12.27 | 4 |
| Electron microscopy diagnostic CPT 88348 | $1,423.95 | $2,589.00 | $430.56 – $782.58 | 2 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $129.23 – $129.23 | 1 |
| Electrophysiologic study CPT 93624 | not published | not published | $7,576.07 – $17,116.00 | 2 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $7,576.07 – $17,116.00 | 2 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $7,576.07 – $17,116.00 | 2 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Electrophysiology evaluation CPT 93622 | $7,018.55 | $12,761.00 | $2,181.00 – $2,181.00 | 1 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Electrophysiology evaluation CPT 93642 | $2,003.10 | $3,642.00 | $1,182.63 – $4,137.00 | 2 |
| Electrophysiology evaluation CPT 93644 | $1,307.90 | $2,378.00 | $2,181.00 – $2,181.00 | 1 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $293.94 – $800.25 | 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.