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 |
|---|---|---|---|---|
| Gastric motility studies CPT 91020 | not published | not published | $362.46 – $2,181.00 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $388.31 – $603.12 | 2 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $30.96 | 4 |
| Gastroduodenostomy CPT 43810 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $388.31 – $582.17 | 2 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $362.46 – $2,181.00 | 2 |
| Gastrointestinal repair CPT 43360 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $880.98 – $4,217.00 | 3 |
| Gated heart multiple CPT 78473 | not published | not published | $388.31 – $604.07 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $82.69 | 4 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | $38.43 | $69.88 | not published | 0 |
| Gefitinib oral HCPCS J8565 | not published | not published | $792.25 – $792.25 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $533.59 – $1,466.01 | 6 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.60 | 6 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.98 – $8.93 | 6 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $233.12 – $634.67 | 6 |
| General health panel CPT 80050 | $280.50 | $510.00 | $46.18 – $46.18 | 1 |
| Generator barostim neo2 2014 HCPCS C1767 | $6,160.82 | $11,201.50 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $4,284.98 | 4 |
| Genioplasty augmentation CPT 21120 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $4,090.89 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $8,804.60 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $4,742.41 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.47 – $7.40 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $159.50 | $290.00 | $16.38 – $28.67 | 4 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $17.18 | 6 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,595.55 | $2,901.00 | $834.12 – $2,181.00 | 2 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $480.70 | $874.00 | $903.30 – $4,217.00 | 3 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $17.17 | 4 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $17.11 – $29.94 | 4 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $880.00 | $1,600.00 | $102.26 – $178.96 | 4 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $129.23 – $129.23 | 1 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $14.39 – $25.18 | 4 |
| Ghs aspiration bladder - needle CPT 51100 | $136.40 | $248.00 | $242.69 – $4,217.00 | 3 |
| Ghs bladder cath - complex-foley CPT 51703 | $150.70 | $274.00 | $124.98 – $4,217.00 | 3 |
| Ghs bleeding time (ivy) CPT 85002 | $51.70 | $94.00 | $4.82 – $8.44 | 4 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $634.70 | $1,154.00 | $685.65 – $4,217.00 | 3 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $3,066.96 – $4,743.00 | 3 |
| Ghs change cysto/gastrost CPT 43762 | $421.85 | $767.00 | $242.69 – $4,217.00 | 3 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $320.84 – $320.84 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $320.84 – $320.84 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | $218.35 | $397.00 | $69.94 – $69.94 | 1 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $141.90 | $258.00 | $35.09 – $61.41 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $174.90 | $318.00 | $239.60 – $4,217.00 | 3 |
| Ghs closed reduction ankle dislocation CPT 27840 | $376.20 | $684.00 | $239.60 – $4,217.00 | 3 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $174.90 | $318.00 | $1,561.89 – $4,743.00 | 3 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $239.60 – $4,217.00 | 3 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $352.00 | $640.00 | $1,561.89 – $4,743.00 | 3 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $3,442.14 – $4,743.00 | 3 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $239.60 – $4,217.00 | 3 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,356.85 | $2,467.00 | $1,561.89 – $4,743.00 | 3 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,621.75 | $6,585.00 | $1,561.89 – $4,743.00 | 3 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $114.95 | $209.00 | $239.60 – $4,217.00 | 3 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $189.75 | $345.00 | $239.60 – $4,217.00 | 3 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $31.17 – $31.17 | 1 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $321.75 | $585.00 | $433.92 – $4,217.00 | 3 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $147.40 | $268.00 | $129.23 – $4,217.00 | 3 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $193.05 | $351.00 | $433.92 – $4,217.00 | 3 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $321.20 | $584.00 | $129.23 – $4,217.00 | 3 |
| Ghs cricothyroidotomy CPT 31605 | $411.95 | $749.00 | $230.06 – $4,217.00 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | $433.95 | $789.00 | $433.92 – $2,181.00 | 2 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $129.23 – $2,181.00 | 2 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $26.62 | 4 |
| Ghs dislocation elbow closed treatment CPT 24600 | $189.75 | $345.00 | $239.60 – $4,217.00 | 3 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $880.98 – $4,217.00 | 3 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $77.55 | $141.00 | $271.67 – $4,217.00 | 3 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $685.65 – $4,217.00 | 3 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $209.73 – $209.73 | 1 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $124.98 – $124.98 | 1 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $124.98 – $124.98 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $394.86 – $4,217.00 | 3 |
| Ghs excision ingrown nail CPT 11765 | $349.80 | $636.00 | $394.86 – $4,217.00 | 3 |
| Ghs eye exam CPT 92002 | not published | not published | $129.32 – $129.32 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $720.50 | $1,310.00 | $308.31 – $4,217.00 | 3 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $8.49 | 4 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,219.25 | $4,035.00 | $1,604.25 – $4,743.00 | 3 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Ghs fb removal - incisional CPT 10121 | $2,219.25 | $4,035.00 | $1,604.25 – $4,743.00 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $12.22 | 4 |
| Ghs fish cytogen CPT 88271 | $121.56 | $221.02 | $21.42 – $37.49 | 4 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $160.53 | $291.87 | $51.19 – $89.58 | 4 |
| Ghs flow volume loop CPT 94375 | $147.40 | $268.00 | $209.73 – $209.73 | 1 |
| Ghs gastric intub aspiration lavage CPT 43753 | $383.35 | $697.00 | $209.73 – $4,217.00 | 3 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $61.41 | 4 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $40.20 | 4 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $200.20 | $364.00 | $15.49 – $27.11 | 4 |
| Ghs hgb stability-thal CPT 83068 | $115.50 | $210.00 | $9.47 – $16.57 | 4 |
| Ghs histoplasma antigen CPT 87385 | $99.00 | $180.00 | $13.25 – $23.19 | 4 |
| Ghs HIV antibody CPT 86703 | $103.40 | $188.00 | $13.71 – $23.99 | 4 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $185.75 | 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.