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 |
|---|---|---|---|---|
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $28.18 – $28.18 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,241.66 – $4,743.00 | 3 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,241.66 – $4,743.00 | 3 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Injection treatment of nerve CPT 64681 | not published | not published | $859.12 – $4,217.00 | 3 |
| Injection treatment of nose CPT 30200 | not published | not published | $523.87 – $4,217.00 | 3 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $2,181.00 – $4,217.00 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $308.31 – $4,217.00 | 3 |
| Inject/treat eye socket CPT 67505 | not published | not published | $308.31 – $4,217.00 | 3 |
| Inject/treat eye socket CPT 67515 | not published | not published | $308.31 – $4,217.00 | 3 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.78 – $99.45 | 2 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.17 – $127.88 | 2 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.37 – $90.85 | 6 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.61 – $61.56 | 6 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $381.50 – $1,038.64 | 6 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $141.52 | 6 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $685.65 – $4,217.00 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $859.12 – $4,217.00 | 3 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.25 – $6.76 | 5 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.21 – $3.30 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.87 – $54.32 | 2 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.47 – $13.48 | 2 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $167.42 – $522.72 | 2 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $186.31 – $507.23 | 6 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.04 – $50.37 | 6 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,300,906.67 – $7,187,400.00 | 2 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.53 – $25.94 | 6 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.38 – $94.53 | 6 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $20.83 – $56.71 | 6 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $134.26 – $365.52 | 6 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $3.00 | 6 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $21.44 | 6 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.46 – $8.22 | 5 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $663.09 – $663.09 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $710.57 – $710.57 | 1 |
| Inj for ext venography CPT 36005 | $319.55 | $581.00 | $2,181.00 – $9,837.00 | 2 |
| Inj for mammo ductogram CPT 19030 | $275.00 | $500.00 | $2,181.00 – $9,837.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $3.30 | 6 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $503.85 – $1,723.01 | 6 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $11.02 – $11.02 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $15.93 | 6 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $125.81 | 2 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.47 – $10.42 | 6 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $163.35 – $163.35 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $598.49 – $598.49 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $8.65 – $25.96 | 6 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $116.47 – $317.10 | 6 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,772.80 – $7,548.95 | 6 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.66 – $4.98 | 6 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $5.33 – $5.33 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $522.72 – $522.72 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.22 – $14.40 | 6 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $66.92 – $191.75 | 6 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $39.34 – $39.34 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,691,450.00 – $11,434,500.00 | 2 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $2.94 – $8.83 | 6 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $58.34 – $171.30 | 6 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $32.46 – $288.17 | 2 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $54.94 – $201.22 | 6 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $3,306.05 | $6,011.00 | $2,181.00 – $2,181.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.48 – $4.03 | 6 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.44 – $16.30 | 2 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $92.91 – $92.91 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $76.95 – $209.50 | 6 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $26.33 – $26.33 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.50 – $7.49 | 6 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $77.30 – $210.46 | 6 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $0.41 | 6 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $484.40 – $1,318.78 | 6 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $859.12 – $4,217.00 | 3 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $5.23 – $5.23 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $194.88 – $4,217.00 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $194.88 – $4,217.00 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.67 – $34.50 | 6 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $49.18 – $133.90 | 6 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.92 – $5.23 | 6 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.45 – $6.67 | 6 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.49 – $4.06 | 6 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.38 – $4.15 | 6 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $84.80 – $230.87 | 5 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $20.33 – $69.20 | 6 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.33 – $3.61 | 6 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $2.23 – $2.23 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.03 – $59.98 | 6 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $24.38 – $73.13 | 6 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $0.05 | 6 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $4.96 – $17.42 | 6 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $15.41 | 6 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.12 – $0.12 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $6.34 – $19.01 | 6 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,235,303.98 – $10,127,700.00 | 2 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $318.85 – $868.07 | 6 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $72.09 | 2 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,069.64 – $10,149.76 | 2 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $10.23 – $10.23 | 1 |
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.