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 |
|---|---|---|---|---|
| Hemodialysis one evaluation CPT 90935 | $1,141.25 | $2,075.00 | not published | 0 |
| Hemoglobin CPT 85018 | $26.40 | $48.00 | $2.37 – $4.15 | 4 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $7.02 | 4 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $8.00 – $14.00 | 4 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $18.80 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $36.30 | $66.00 | $8.20 – $14.35 | 4 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.34 – $23.35 | 4 |
| Hemoglobin plasma CPT 83051 | $39.60 | $72.00 | $7.31 – $12.79 | 4 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $15.75 | 4 |
| Hemoglobin urine CPT 83069 | $25.30 | $46.00 | $3.95 – $6.91 | 4 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $15.52 | 4 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $15.35 | 4 |
| Hemolysins and agglutinins incubated CPT 86941 | $75.90 | $138.00 | $12.11 – $21.19 | 4 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $27.72 | 4 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $257.95 | $469.00 | $903.30 – $4,217.00 | 3 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,696.09 – $10,137.00 | 3 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $65.15 – $177.38 | 6 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $65.15 – $177.38 | 6 |
| Heparin assay CPT 85520 | $96.80 | $176.00 | $13.09 – $22.91 | 4 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.22 – $0.66 | 6 |
| Heparin neutralization CPT 85525 | $82.50 | $150.00 | $11.84 – $20.72 | 4 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.02 – $0.05 | 6 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $22.91 | 4 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Hepatitis a antibody igm CPT 86709 | $89.10 | $162.00 | $11.26 – $19.71 | 4 |
| Hepatitis b core antibody igm CPT 86705 | $96.80 | $176.00 | $11.77 – $20.60 | 4 |
| Hepatitis b core antibody total CPT 86704 | $90.75 | $165.00 | $12.05 – $21.09 | 4 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $136.95 – $389.91 | 6 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $17.91 – $44.31 | 4 |
| Hepatitis b surface antibody CPT 86706 | $290.40 | $528.00 | $10.74 – $18.80 | 4 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $140.75 – $422.26 | 6 |
| Hepatitis c antibody CPT 86803 | $128.70 | $234.00 | $14.27 – $24.97 | 4 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $54.64 | 4 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $74.97 | 4 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $68.71 | 4 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.80 – $52.15 | 4 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $73.08 | 4 |
| Hepatobiliary system imaging CPT 78226 | $1,529.55 | $2,781.00 | $388.31 – $815.30 | 2 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $73.82 – $221.45 | 6 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $164.42 – $493.27 | 6 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $696.20 – $2,281.91 | 4 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $696.20 – $696.20 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $522.44 – $2,281.91 | 4 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $1,046.34 | 4 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $522.44 – $522.44 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,477.76 – $10,137.00 | 3 |
| Herpes simplex 1 ag if CPT 87274 | $85.25 | $155.00 | $11.98 – $20.97 | 4 |
| Herpes simplex 2 ag if CPT 87273 | $85.25 | $155.00 | $11.98 – $20.97 | 4 |
| Herpes simplex type 1 antibody igg CPT 86695 | $22.00 | $40.00 | $13.19 – $23.08 | 4 |
| Herpes simplex type 2 antibody igg CPT 86696 | $22.00 | $40.00 | $19.35 – $33.86 | 4 |
| Herpes simplex virus isolation CPT 87255 | $127.05 | $231.00 | $33.86 – $59.26 | 4 |
| Heterophile antibodies screening CPT 86308 | $57.75 | $105.00 | $5.18 – $9.07 | 4 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $11.32 | 4 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $12.90 | 4 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $90.04 | 4 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.49 – $11.36 | 4 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $58.00 – $101.50 | 4 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $41.76 – $73.08 | 4 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $125.94 – $125.94 | 1 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $59.90 – $59.90 | 1 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,561.89 – $10,137.00 | 3 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $98.68 – $98.68 | 1 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Hip X-ray CPT 73502 | $128.70 | $234.00 | $79.54 – $84.53 | 2 |
| Histamine CPT 83088 | $34.10 | $62.00 | $29.53 – $51.68 | 4 |
| Histochemical stains add-on CPT 88314 | $90.75 | $165.00 | $88.61 – $88.61 | 1 |
| Histoplasmosis skin test CPT 86510 | $66.55 | $121.00 | $8.28 – $36.28 | 2 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $42.11 | 4 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $38.36 | 4 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $38.33 | 4 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $38.36 | 4 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $102.59 | 4 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.27 – $194.04 | 6 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.45 – $3.48 | 6 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $6.89 – $18.76 | 6 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.64 – $37.14 | 6 |
| Hla class i high defin qual CPT 86832 | not published | not published | $323.75 – $566.56 | 4 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $325.80 – $570.15 | 4 |
| Hla class i&ii antibody qual CPT 86828 | $378.40 | $688.00 | $64.19 – $112.33 | 4 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $64.19 – $112.33 | 4 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $143.29 | 4 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $565.18 | 4 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $167.16 | 4 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $625.73 | 4 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $707.91 | 4 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $604.75 | 4 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $703.71 | 4 |
| Hla ii typing 1 loc hr CPT 81382 | $796.40 | $1,448.00 | $123.68 – $216.44 | 4 |
| Hla ii typing ag equiv lr CPT 81375 | $65.45 | $119.00 | $220.74 – $386.30 | 4 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $74.33 – $130.08 | 4 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $310.19 | 4 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $586.92 | 4 |
| Hla i typing complete lr CPT 81372 | $277.75 | $505.00 | $403.59 – $706.28 | 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.