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 |
|---|---|---|---|---|
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $8,701.00 – $8,960.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $57.30 – $57.30 | 1 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $57.30 – $57.30 | 1 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $36.28 – $36.28 | 1 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $36.28 – $36.28 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $196.38 – $4,217.00 | 3 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $880.98 – $4,217.00 | 3 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Flebogamma injection HCPCS J1572 | not published | not published | $90.74 – $172.95 | 2 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $32.62 | 4 |
| Fl exam g/colon tube w contrast CPT 49465 | $399.85 | $727.00 | $231.76 – $4,217.00 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $903.30 – $4,217.00 | 3 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,584.67 – $11,107.80 | 2 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $10,100.48 | 2 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $727.56 – $1,774.18 | 2 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $96.36 – $96.36 | 1 |
| Flow cytometry marker each additional CPT 88185 | $187.55 | $341.00 | $24.85 – $24.85 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $330.00 | $600.00 | $77.08 – $348.17 | 2 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $490.05 – $490.05 | 1 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $92.03 – $250.55 | 6 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $71.38 – $71.38 | 1 |
| Floxuridine injection HCPCS J9200 | not published | not published | $3,988.33 – $10,858.22 | 6 |
| Flt3 gene CPT 81245 | not published | not published | $165.51 – $289.64 | 4 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $145.25 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $3.10 – $10.73 | 6 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $218.79 | 6 |
| Fluidotherapy charges pt CPT 97022 | $177.65 | $323.00 | $15.06 – $15.06 | 1 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $687.83 – $4,217.00 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $490.77 – $1,336.12 | 6 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.80 – $925.77 | 6 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $362.46 – $362.46 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $209.73 – $209.73 | 1 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $209.73 – $209.73 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $639.65 | $1,163.00 | $12.05 – $21.09 | 4 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $855.55 – $1,357.49 | 2 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $1,357.64 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $436.70 | $794.00 | $146.15 – $146.15 | 1 |
| Fluoroguide needle placement CPT 77002 | $377.30 | $686.00 | $170.90 – $170.90 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $33.09 | 4 |
| Fluoroscopy up to 1 hour CPT 76000 | $323.95 | $589.00 | $101.43 – $231.76 | 2 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.21 – $6.62 | 6 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.83 – $26.48 | 6 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $530.00 – $1,402.09 | 2 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $145.51 – $145.51 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,944.01 – $10,454.40 | 2 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $32.59 – $32.59 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $135.09 – $135.09 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $231.76 – $1,692.83 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $231.76 – $911.80 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $687.83 – $4,217.00 | 3 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $687.83 – $4,217.00 | 3 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $33.09 | 4 |
| Folic acid CPT 82746 | $96.25 | $175.00 | $14.70 – $25.73 | 4 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.06 – $0.19 | 5 |
| Follow-up angiography CPT 75898 | $1,009.80 | $1,836.00 | $117.22 – $3,066.96 | 2 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $129.32 – $129.32 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.18 – $40.95 | 2 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.86 – $2.57 | 6 |
| Foot longitudinal arch suppo HCPCS L3010 | $118.25 | $215.00 | not published | 0 |
| Foot X-ray CPT 73630 | $264.00 | $480.00 | $53.85 – $84.53 | 2 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $659.70 – $659.70 | 1 |
| Forensic cytopathology CPT 88125 | not published | not published | $14.86 – $50.62 | 2 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $372.35 | $677.00 | $242.69 – $4,217.00 | 3 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.70 – $5.10 | 6 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.12 – $0.35 | 6 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $21.63 – $64.89 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $0.66 – $20.91 | 2 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $49.88 | 4 |
| Fracture assessment via dxa CPT 77086 | $252.45 | $459.00 | $70.98 – $84.53 | 2 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $78.56 | 4 |
| Fragmenting of kidney stone CPT 50590 | $7,471.20 | $13,584.00 | $3,423.93 – $17,116.00 | 3 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Free skin flap microvasc CPT 15757 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Frenectomy 41115 CPT 41115 | $288.20 | $524.00 | $1,507.10 – $4,743.00 | 3 |
| Frenotomy 40806 CPT 40806 | not published | not published | $523.87 – $4,217.00 | 3 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $389.40 | $708.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $22.51 – $165.49 | 2 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $36.28 – $112.54 | 2 |
| Frozen blood prep CPT 86930 | not published | not published | $132.33 – $165.49 | 2 |
| Frozen blood thaw CPT 86931 | $212.30 | $386.00 | $99.34 – $165.49 | 2 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $21.16 | 4 |
| Fructosamine glycated protein CPT 82985 | $11.70 | $21.28 | $16.76 – $29.33 | 4 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $2,181.00 – $9,837.00 | 2 |
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.