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 |
|---|---|---|---|---|
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $209.73 – $209.73 | 1 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $13.19 – $23.08 | 4 |
| Encephalitis, st louis igg/igm CPT 86653 | $86.35 | $157.00 | $13.19 – $23.08 | 4 |
| Encephalitis, western equine igg/igm CPT 86654 | $86.35 | $157.00 | $13.19 – $23.08 | 4 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,643.10 | $8,442.00 | $3,066.96 – $10,137.00 | 3 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $4,559.50 | $8,290.00 | $3,066.96 – $10,137.00 | 3 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $120.61 | 4 |
| Endo cath bile duct s&i CPT 74328 | $723.80 | $1,316.00 | $226.60 – $226.60 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $177.89 – $177.89 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $295.99 – $4,217.00 | 3 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $894.65 – $4,217.00 | 3 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $10,325.10 – $10,325.10 | 1 |
| Endoluminal bx biliary tree CPT 47543 | $413.60 | $752.00 | $2,181.00 – $9,837.00 | 2 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,984.20 | $7,244.00 | $2,181.00 – $2,181.00 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | $2,150.50 | $3,910.00 | $2,181.00 – $2,181.00 | 1 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $4,859.04 – $10,137.00 | 3 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $4,859.04 – $15,012.00 | 3 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $10,325.10 – $16,164.00 | 2 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $903.30 – $4,217.00 | 3 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $8,960.00 – $17,116.00 | 2 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $903.30 – $4,217.00 | 3 |
| Endoscopy of ureter CPT 50951 | not published | not published | $3,420.00 – $4,743.00 | 3 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,423.93 – $8,433.00 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $52.49 – $52.49 | 1 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,728.87 – $4,743.00 | 3 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $12,173.70 | $22,134.00 | $16,164.00 – $16,164.00 | 1 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $11,213.25 – $25,004.00 | 3 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,496.25 | $8,175.00 | $3,066.96 – $10,137.00 | 2 |
| Endovenous mchnchem add-on CPT 36474 | $1,499.30 | $2,726.00 | $2,181.00 – $2,181.00 | 1 |
| Endovenous rf abl vein addl CPT 36476 | $2,074.05 | $3,771.00 | $2,181.00 – $9,837.00 | 2 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $7,542.15 | $13,713.00 | $5,404.97 – $17,116.00 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $880.00 | $1,600.00 | $2,181.00 – $9,837.00 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.64 – $99.76 | 6 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $2.18 – $2.18 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.52 – $1.55 | 6 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $20.97 | 4 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $28.00 | 4 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,863.90 – $8,433.00 | 3 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $23.49 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $44.03 – $77.05 | 4 |
| Enzyme histochemistry CPT 88319 | not published | not published | $128.69 – $782.58 | 2 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $25,388.55 – $40,677.00 | 2 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $25,388.55 – $40,677.00 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $54.86 – $149.36 | 6 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $982.30 | $1,786.00 | $2,181.00 – $9,837.00 | 2 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $859.12 – $4,217.00 | 3 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $859.12 – $4,217.00 | 3 |
| Epiglottidectomy CPT 31420 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Epikeratoplasty CPT 65767 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $4,284.98 | 4 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $1,182.63 – $4,137.00 | 2 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.62 – $4.85 | 6 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $7,195.65 | $13,083.00 | $3,144.33 – $8,701.00 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.71 – $2.12 | 6 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.07 – $19.26 | 6 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $6.88 – $19.27 | 6 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.26 – $3.78 | 6 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.26 – $3.78 | 6 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $16.08 – $48.23 | 6 |
| Epstein barr early antigen antibody CPT 86663 | $111.65 | $203.00 | $13.12 – $22.96 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $45.65 | $83.00 | $15.29 – $26.76 | 4 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $117.15 | $213.00 | $18.14 – $31.75 | 4 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $3.87 – $62.11 | 2 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.32 – $52.60 | 6 |
| Ercp biliary & pancreas CPT 74330 | $725.45 | $1,319.00 | $332.75 – $332.75 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $5,896.86 – $8,960.00 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $5,896.86 – $8,960.00 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,744.95 – $8,701.00 | 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.