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 |
|---|---|---|---|---|
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,766.05 | $3,211.00 | $1,162.34 – $4,743.00 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $911.90 | $1,658.00 | $687.83 – $4,217.00 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $172.70 | $314.00 | $687.83 – $4,217.00 | 3 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $52.36 | 4 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $441.10 | $802.00 | $242.69 – $4,217.00 | 3 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $193.88 – $4,217.00 | 3 |
| Ghs inf midline insertion CPT 36140 | $908.60 | $1,652.00 | $2,181.00 – $9,837.00 | 2 |
| Ghs inhibitor screen CPT 85335 | $574.75 | $1,045.00 | $12.87 – $22.52 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $194.88 – $4,217.00 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,522.40 | $2,768.00 | $859.12 – $4,217.00 | 3 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $799.70 | $1,454.00 | $859.12 – $4,217.00 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $411.95 | $749.00 | $298.15 – $4,217.00 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,082.40 | $1,968.00 | $2,181.00 – $9,837.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,453.65 | $2,643.00 | $859.12 – $4,217.00 | 3 |
| Ghs insertion of needle - bone CPT 36680 | $561.00 | $1,020.00 | $433.92 – $4,217.00 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $181.50 | $330.00 | $394.86 – $4,217.00 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $717.88 – $4,217.00 | 3 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $481.80 | $876.00 | $2,004.13 – $4,743.00 | 3 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $1,120.35 | $2,037.00 | $2,181.00 – $9,837.00 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $372.35 | $677.00 | $242.69 – $4,217.00 | 3 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $45.48 – $45.48 | 1 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $576.40 | $1,048.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $576.40 | $1,048.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $713.35 | $1,297.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $793.65 | $1,443.00 | $320.84 – $4,217.00 | 3 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $654.50 | $1,190.00 | $433.92 – $4,217.00 | 3 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $181.50 | $330.00 | $394.86 – $4,217.00 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $181.50 | $330.00 | $394.86 – $4,217.00 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $227.15 | $413.00 | $394.86 – $4,217.00 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $255.75 | $465.00 | $394.86 – $4,217.00 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $181.50 | $330.00 | $394.86 – $4,217.00 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $283.80 | $516.00 | $394.86 – $4,217.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $181.50 | $330.00 | $394.86 – $4,217.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $181.50 | $330.00 | $717.88 – $4,217.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $312.40 | $568.00 | $394.86 – $4,217.00 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $920.70 | $1,674.00 | $717.88 – $4,217.00 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $340.45 | $619.00 | $394.86 – $4,217.00 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $717.88 – $4,217.00 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $394.86 – $4,217.00 | 3 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $369.05 | $671.00 | $394.86 – $4,217.00 | 3 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $92.40 | $168.00 | $8.60 – $15.05 | 4 |
| Ghs mbp CPT 83873 | $125.40 | $228.00 | $17.20 – $30.10 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $205.70 | $374.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $617.65 | $1,123.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $478.50 | $870.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $366.30 | $666.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $383.35 | $697.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $475.75 | $865.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $200.20 | $364.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $114.40 | $208.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $317.90 | $578.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $141.35 | $257.00 | $717.88 – $4,217.00 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $552.20 | $1,004.00 | $859.12 – $4,217.00 | 3 |
| Ghs nerve blk intercostal, single level CPT 64420 | $652.85 | $1,187.00 | $685.65 – $4,217.00 | 3 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $859.12 – $4,217.00 | 3 |
| Ghs nerve block brachial plexus CPT 64415 | $1,639.00 | $2,980.00 | $859.12 – $4,217.00 | 3 |
| Ghs nerve block celiac plexus CPT 64530 | $904.20 | $1,644.00 | $859.12 – $4,217.00 | 3 |
| Ghs nerve block interscaline CPT 64510 | $663.85 | $1,207.00 | $859.12 – $4,217.00 | 3 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,403.05 | $2,551.00 | $859.12 – $4,217.00 | 3 |
| Ghs nerve block sciatic nerve CPT 64445 | $948.75 | $1,725.00 | $685.65 – $4,217.00 | 3 |
| Ghs nerve block suprascapular CPT 64418 | $608.30 | $1,106.00 | $685.65 – $4,217.00 | 3 |
| Ghs ng placement w fluoro guidance CPT 43752 | $569.80 | $1,036.00 | $433.92 – $4,217.00 | 3 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.77 – $17.10 | 4 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $124.98 – $124.98 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $57.30 – $57.30 | 1 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $45.48 – $45.48 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | $870.10 | $1,582.00 | $609.32 – $4,217.00 | 3 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,529.03 – $4,743.00 | 3 |
| Ghs optokenetic CPT 92544 | not published | not published | $124.98 – $124.98 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $209.73 – $209.73 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $45.10 | $82.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $50.60 | $92.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.41 – $6.41 | 1 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.07 – $9.07 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $39.20 – $39.20 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $133.65 | $243.00 | $58.69 – $58.69 | 1 |
| Ghs ot work hardening-additional hours CPT 97546 | $262.90 | $478.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $642.00 – $3,420.00 | 2 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $672.65 | $1,223.00 | $2,181.00 – $9,837.00 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $680.35 | $1,237.00 | $2,181.00 – $9,837.00 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $110.00 | $200.00 | $25.57 – $25.57 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $239.25 | $435.00 | $230.06 – $4,217.00 | 3 |
| Ghs phenylketonurid CPT 84030 | $42.35 | $77.00 | $5.50 – $9.63 | 4 |
| Ghs picc line insert < 5 CPT 36568 | $382.25 | $695.00 | $1,529.03 – $4,217.00 | 3 |
| Ghs plngl fx pm cl CPT 26725 | $159.50 | $290.00 | $239.60 – $4,217.00 | 3 |
| Ghs plt ct-manual CPT 85032 | $37.40 | $68.00 | $4.31 – $7.54 | 4 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $834.12 – $834.12 | 1 |
| Ghs pos nystagmus CPT 92542 | $163.90 | $298.00 | $129.23 – $129.23 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $36.30 | $66.00 | $11.76 – $28.09 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $79.20 | $144.00 | $9.66 – $16.91 | 4 |
| Ghs protein, misc fluid CPT 84160 | $24.75 | $45.00 | $5.61 – $9.82 | 4 |
| Ghs protoporphyrins fract CPT 84202 | $94.60 | $172.00 | $14.35 – $25.11 | 4 |
| Ghs pr without cont pulse ox CPT 94625 | $175.45 | $319.00 | $57.30 – $57.30 | 1 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $21.44 | 4 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $519.20 | $944.00 | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $25.55 | 4 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $320.84 – $2,181.00 | 2 |
| Ghs removal intranasal foreign body CPT 30300 | $63.25 | $115.00 | $129.23 – $4,217.00 | 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.