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 |
|---|---|---|---|---|
| Great toe-hand transfer CPT 26551 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Great toe with reduction 28495 CPT 28495 | $448.80 | $816.00 | $239.60 – $4,217.00 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $11.97 – $11.97 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $27.55 | 4 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $116.73 | 4 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $226.33 | 4 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $132.30 | 4 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $8,433.00 – $15,012.00 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,863.90 – $8,701.00 | 3 |
| G-tube reposition CPT 43761 | $692.45 | $1,259.00 | $242.69 – $4,217.00 | 3 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,081.85 | $1,967.00 | $174.70 – $2,030.46 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | $969.65 | $1,763.00 | $687.83 – $4,217.00 | 3 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $177.97 | $323.58 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $38.26 | $69.57 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $169.47 – $169.47 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Gw stiffened micro access kit HCPCS C1894 | $113.54 | $206.44 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,803.19 – $8,701.00 | 3 |
| Hair analysis HCPCS P2031 | not published | not published | $5.90 – $13.61 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $717.88 – $4,217.00 | 3 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $394.86 – $4,217.00 | 3 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $394.86 – $4,217.00 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.61 – $13.83 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.78 – $2.33 | 6 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $52.25 | $95.00 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $4,137.00 – $14,758.00 | 3 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Hand X-ray CPT 73130 | $220.55 | $401.00 | $56.71 – $84.53 | 2 |
| Haptoglobin quantitative CPT 83010 | $80.85 | $147.00 | $12.58 – $22.02 | 4 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $2,181.00 – $8,960.00 | 2 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,512.78 – $4,743.00 | 3 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $428.53 – $4,217.00 | 3 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $129.23 – $129.23 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $129.23 – $129.23 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,050.00 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $2,519.55 | $4,581.00 | $202.40 – $354.20 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $656.69 | 4 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $568.02 | 4 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $305.92 | 4 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $354.20 | 4 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $656.69 | 4 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $16.99 | 4 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $684.20 | $1,244.00 | $170.37 – $1,021.63 | 2 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $26.76 | 4 |
| Hcg qualitative CPT 84703 | $58.85 | $107.00 | $7.52 – $13.16 | 4 |
| Hcg quantitative CPT 84702 | $99.55 | $181.00 | $15.05 – $26.34 | 4 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $341.02 | $620.03 | $257.14 – $257.14 | 1 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $717.88 – $4,217.00 | 3 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $717.88 – $4,217.00 | 3 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $352.27 – $527.40 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $388.31 – $388.31 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $388.31 – $515.56 | 2 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $504.13 – $527.40 | 2 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,789.40 | $8,708.00 | $952.35 – $1,257.53 | 2 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $589.41 – $676.51 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $676.51 – $1,073.56 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $676.51 – $1,693.99 | 2 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $374.64 – $455.61 | 2 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $374.64 – $748.90 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $1,426.70 | $2,594.00 | $170.37 – $338.37 | 2 |
| Head CT scan (with contrast) CPT 70460 | $1,316.70 | $2,394.00 | $170.37 – $278.43 | 2 |
| Head CT scan (without contrast) CPT 70450 | $1,234.75 | $2,245.00 | $101.55 – $193.74 | 2 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,189.25 | 4 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $2,843.75 | 4 |
| Heart first pass add-on CPT 78496 | not published | not published | $55.75 – $55.75 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $462.65 – $527.40 | 2 |
| Heart image spect CPT 78494 | not published | not published | $388.31 – $460.37 | 2 |
| Heart infarct image CPT 78466 | not published | not published | $388.31 – $442.67 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $427.06 – $527.40 | 2 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $36.65 | 4 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $7.35 | 4 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $11.94 | 4 |
| Helicobacter pylori antibody igm CPT 86677 | $115.50 | $210.00 | $16.85 – $29.49 | 4 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $120.88 – $877.06 | 5 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $14.33 | 4 |
| Hematocrit CPT 85014 | $25.30 | $46.00 | $2.37 – $4.15 | 4 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $214.85 – $226.65 | 2 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $33.07 – $90.04 | 6 |
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.