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 |
|---|---|---|---|---|
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,863.90 – $8,701.00 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,863.90 – $8,701.00 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $5,896.86 – $8,960.00 | 3 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $59.98 – $323.30 | 6 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $9.18 – $27.55 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $257.95 | $469.00 | $81.91 – $81.91 | 1 |
| ER Visit (level 2) CPT 99282 | $370.70 | $674.00 | $149.14 – $149.14 | 1 |
| ER Visit (level 3) CPT 99283 | $614.35 | $1,117.00 | $265.15 – $265.15 | 1 |
| ER Visit (level 4) CPT 99284 | $920.15 | $1,673.00 | $405.30 – $405.30 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $1,736.35 | $3,157.00 | $578.46 – $578.46 | 1 |
| Erwinaze injection HCPCS J9019 | not published | not published | $1,316.88 – $1,316.88 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $65.96 – $197.88 | 6 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $4,137.00 – $4,217.00 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,744.95 – $8,701.00 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.41 – $1.23 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.27 – $0.85 | 6 |
| Esophageal dilat s&i CPT 74360 | $587.40 | $1,068.00 | $239.51 – $239.51 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $388.31 – $508.89 | 2 |
| Esophageal recording CPT 93615 | not published | not published | $1,182.63 – $4,137.00 | 2 |
| Esophageal recording CPT 93616 | not published | not published | $1,182.63 – $4,137.00 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $880.98 – $4,217.00 | 3 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $5,896.86 – $10,137.00 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $880.98 – $4,217.00 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $880.98 – $4,217.00 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,744.95 – $8,701.00 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,863.90 – $8,701.00 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,744.95 – $8,433.00 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,863.90 – $8,433.00 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esophagus motility study CPT 91010 | $433.40 | $788.00 | $362.46 – $2,181.00 | 2 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $362.46 – $2,181.00 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $209.73 – $2,181.00 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $362.46 – $2,181.00 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $4,859.04 – $15,012.00 | 3 |
| Establish access to aorta CPT 36160 | $961.40 | $1,748.00 | $2,181.00 – $9,837.00 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $139.70 | $254.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Estradiol total CPT 82670 | $151.80 | $276.00 | $27.94 – $48.90 | 4 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.30 – $21.90 | 6 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $37.98 | 4 |
| Etanercept injection HCPCS J1438 | not published | not published | $3,331.37 – $3,331.37 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $497.70 – $1,355.00 | 6 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $508.98 – $508.98 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Ethylene glycol -sendout CPT 82693 | $123.75 | $225.00 | $14.90 – $26.08 | 4 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $3,968.20 – $3,968.20 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.07 – $3.20 | 6 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.46 – $208.16 | 6 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $98.14 – $350.41 | 6 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $14.72 | 4 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $124.98 – $124.98 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $235.40 | $428.00 | $119.49 – $119.49 | 1 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $18.17 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $77.55 | $141.00 | $98.11 – $171.69 | 4 |
| Evaluation heart device CPT 93640 | $491.70 | $894.00 | $2,181.00 – $2,181.00 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $343.20 | $624.00 | $130.60 – $130.60 | 1 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $172.41 – $172.41 | 1 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $13,352.00 – $13,352.00 | 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.