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 |
|---|---|---|---|---|
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $27.15 – $27.15 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $21.51 – $58.56 | 6 |
| Ammonia CPT 82140 | $63.80 | $116.00 | $14.57 – $25.50 | 4 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $894.65 – $4,217.00 | 3 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $295.99 – $4,217.00 | 3 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $16.36 | 4 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Amphetamine confirm urine -sendout CPT 80324 | $128.15 | $233.00 | $27.15 – $27.15 | 1 |
| Amphetamines 5 or more CPT 80326 | $131.45 | $239.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $50.07 – $150.20 | 6 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.30 – $30.90 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $19.84 – $63.46 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.60 – $1.79 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.57 – $4.72 | 6 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $165.00 | $300.00 | $262.99 – $460.23 | 4 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,178.20 – $25,004.00 | 3 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $7,048.20 – $8,701.00 | 3 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $7,048.20 – $25,004.00 | 3 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Amputation of lower leg CPT 27882 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $3,178.20 – $14,758.00 | 3 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Amylase CPT 82150 | $39.60 | $72.00 | $6.48 – $11.34 | 4 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $187.11 – $187.11 | 1 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $21.19 | 4 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $89.10 | $162.00 | $27.15 – $27.15 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $124.98 – $9,837.00 | 3 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $242.69 – $9,837.00 | 3 |
| Analysis gene f2 20210g>a variant CPT 81240 | $206.25 | $375.00 | $65.69 – $114.96 | 4 |
| Analysis gene f5 leiden variant CPT 81241 | $226.60 | $412.00 | $73.37 – $128.40 | 4 |
| Analysis nerve CPT 88356 | not published | not published | $50.62 – $133.60 | 2 |
| Analysis tumor CPT 88358 | not published | not published | $102.96 – $165.49 | 2 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $100.65 | $183.00 | $35.09 – $61.41 | 4 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $245.30 | $446.00 | $15.05 – $26.34 | 4 |
| An cholangiogram percutaneous compl CPT 47531 | $558.25 | $1,015.00 | $3,477.76 – $10,137.00 | 3 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $50.45 | 4 |
| An fluoro guide for cvp CPT 77001 | $395.45 | $719.00 | $136.65 – $136.65 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $4,981.90 | $9,058.00 | $2,181.00 – $2,181.00 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $5,871.25 | $10,675.00 | $13,352.00 – $17,116.00 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $5,243.15 | $9,533.00 | $13,352.00 – $17,116.00 | 2 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $3,983.10 | $7,242.00 | $9,837.00 – $17,116.00 | 2 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $35.91 | 4 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $7,123.60 | $12,952.00 | $16,164.00 – $17,116.00 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $4,886.20 | $8,884.00 | $5,528.40 – $17,116.00 | 2 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,057.90 | $7,378.00 | $5,528.40 – $17,116.00 | 2 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.47 – $1.42 | 6 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Ankle X-ray CPT 73610 | $256.85 | $467.00 | $58.60 – $84.53 | 2 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $298.33 – $4,217.00 | 3 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $102.85 | $187.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.27 – $6.27 | 1 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $196.38 – $196.38 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Anoscopy CPT 46611 | not published | not published | $903.30 – $4,217.00 | 3 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $903.30 – $4,217.00 | 3 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $209.73 – $209.73 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $4,859.04 – $10,137.00 | 3 |
| Antibody CPT 86744 | not published | not published | $15.99 – $27.98 | 4 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $12.88 – $22.54 | 4 |
| Antibody elution rbc reference CPT 86860 | $188.10 | $342.00 | $35.69 – $165.49 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | $140.80 | $256.00 | $19.35 – $33.86 | 4 |
| Antibody htlv-i CPT 86687 | $103.40 | $188.00 | $9.09 – $15.91 | 4 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $24.50 | 4 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $361.90 | $658.00 | $18.37 – $32.15 | 4 |
| Antibody id rbc panel CPT 86870 | $105.60 | $192.00 | $48.90 – $348.17 | 2 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.55 – $23.71 | 4 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $12.87 – $22.52 | 4 |
| Antibody screen rbc CPT 86850 | $67.10 | $122.00 | $11.63 – $26.87 | 4 |
| Antibody tetanus CPT 86774 | not published | not published | $14.80 – $25.90 | 4 |
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.