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 |
|---|---|---|---|---|
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Incision of heel bone CPT 28300 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of hip bone CPT 27146 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of hip bones CPT 27151 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of hip tendon CPT 27000 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Incision of hip tendon CPT 27001 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Incision of hip tendon CPT 27003 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Incision of hip tendons CPT 27006 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Incision of iris CPT 66500 | not published | not published | $2,181.00 – $4,743.00 | 3 |
| Incision of iris CPT 66505 | not published | not published | $2,241.66 – $4,743.00 | 3 |
| Incision of jaw joint CPT 21010 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Incision of jaw nerve CPT 64738 | not published | not published | $1,896.75 – $4,743.00 | 3 |
| Incision of knee joint CPT 27435 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Incision of liver duct CPT 47400 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Incision of lymph channels CPT 38308 | not published | not published | $3,803.19 – $8,701.00 | 3 |
| Incision of metatarsal CPT 28306 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Incision of metatarsal CPT 28307 | not published | not published | $7,048.20 – $8,701.00 | 3 |
| Incision of metatarsal CPT 28308 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Incision of metatarsals CPT 28309 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of midfoot bones CPT 28304 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of neck of femur CPT 27161 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of palm tendon CPT 26450 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Incision of prostate CPT 52450 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Incision of rectal abscess CPT 46060 | not published | not published | $2,696.09 – $4,743.00 | 3 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Incision of sperm duct CPT 55200 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Incision of stomach nerves CPT 64755 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Incision of thigh CPT 27448 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of thigh CPT 27450 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incision of thigh tendon CPT 27306 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Incision of thigh tendon CPT 27390 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Incision of thigh tendons CPT 27307 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Incision of thigh tendons CPT 27391 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Incision of thigh tendons CPT 27392 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Incision of tibia CPT 27705 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $10,137.00 – $16,164.00 | 3 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Incision of tongue fold CPT 41010 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Incision of urethra CPT 53000 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Incision of urethra CPT 53010 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Incision of urethra CPT 53020 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Incision of urethra CPT 53025 | not published | not published | $2,030.46 – $8,701.00 | 3 |
| Incision of vagus nerve CPT 64760 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Incision of windpipe CPT 31610 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Incision secondary cataract CPT 66820 | not published | not published | $2,181.00 – $4,743.00 | 3 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Incisn windpipe CPT 31600 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $2,181.00 – $14,758.00 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.28 – $14.50 | 6 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $4,137.00 – $4,743.00 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $122.85 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $404.25 | $735.00 | $130.35 – $228.11 | 4 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $26.25 | 4 |
| Infect ag eia influenza a or b ea CPT 87400 | $72.60 | $132.00 | $14.13 – $24.73 | 4 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $806.85 | $1,467.00 | $257.45 – $450.54 | 4 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $450.54 | 4 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $128.73 – $225.28 | 4 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $866.25 | $1,575.00 | $257.45 – $450.54 | 4 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $57.35 | 4 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $35.29 – $61.76 | 4 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $16.55 – $28.96 | 4 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $20.97 | 4 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $32.13 | 4 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $28.12 | 4 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $21.44 | 4 |
| Infect ag if legionella pneumophila CPT 87278 | $69.30 | $126.00 | $15.60 – $27.30 | 4 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $28.18 | 4 |
| Infect ag if pneumocystis carinii CPT 87281 | $84.15 | $153.00 | $11.98 – $20.97 | 4 |
| Infect ag if varicella zoster CPT 87290 | $83.60 | $152.00 | $13.42 – $23.49 | 4 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $93.57 | 4 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $61.41 | 4 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $74.97 | 4 |
| Infect ag na hpv high-risk types CPT 87624 | $276.10 | $502.00 | $35.09 – $61.41 | 4 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $156.20 | $284.00 | $95.80 – $167.65 | 4 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $89.79 | 4 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $160.60 | $292.00 | $51.31 – $89.79 | 4 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $773.30 | $1,406.00 | $416.78 – $729.37 | 4 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,405.80 | $2,556.00 | $488.66 – $855.16 | 4 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $78.10 | $142.00 | $26.07 – $45.62 | 4 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $72.42 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $76.45 | $139.00 | $11.98 – $20.97 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $76.45 | $139.00 | $13.42 – $23.49 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $76.45 | $139.00 | $13.82 – $24.19 | 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.