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 |
|---|---|---|---|---|
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $104.90 – $427.71 | 6 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $64.78 – $199.45 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $773.80 – $2,106.67 | 6 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $824.79 – $824.79 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $3.63 – $10.88 | 6 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $2.09 – $6.26 | 6 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.22 – $7.28 | 2 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.60 – $4.81 | 6 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $2.64 – $2.64 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.31 – $0.92 | 6 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $32.66 – $129.51 | 6 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $243.63 – $663.28 | 6 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $68.66 | 6 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $8.57 – $25.72 | 6 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $7.10 – $21.31 | 6 |
| Inj multihance HCPCS A9577 | not published | not published | $1.82 – $5.45 | 6 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.81 – $5.42 | 6 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.31 – $0.92 | 6 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $9.21 – $27.64 | 5 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $641.83 – $1,747.38 | 6 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,123.10 | $2,042.00 | $677.31 – $4,217.00 | 3 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.17 – $5.18 | 2 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.31 – $257.50 | 6 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,726.90 | $4,958.00 | $2,004.13 – $4,743.00 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $2,726.90 | $4,958.00 | $2,004.13 – $4,743.00 | 3 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $1.03 – $1.75 | 2 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $45.19 – $123.02 | 5 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $41.88 – $125.64 | 6 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $31.94 – $127.46 | 6 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $160.46 – $160.46 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $3.55 – $3.55 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $381.24 – $1,037.93 | 6 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $20.39 – $20.39 | 1 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.87 – $10.54 | 6 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,680,037.38 – $7,813,702.28 | 2 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $20.99 – $78.24 | 6 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $55.23 – $163.10 | 5 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $21.24 – $21.24 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $70.43 – $191.75 | 6 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $526.94 – $1,434.59 | 5 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $99.04 – $269.64 | 6 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $96.78 – $298.39 | 2 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $143.99 – $392.01 | 6 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $24.71 – $74.13 | 6 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.51 – $102.12 | 2 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.99 – $126.19 | 6 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.74 – $26.52 | 5 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $73.67 – $258.09 | 2 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $10.34 – $31.03 | 5 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.94 – $10.51 | 6 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.74 – $5.22 | 6 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $8.37 – $22.79 | 6 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $6,583.50 – $19,750.50 | 6 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $67.94 – $220.69 | 6 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.15 – $33.08 | 6 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $38.42 – $118.24 | 2 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.52 – $9.72 | 6 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $91.73 – $282.73 | 2 |
| Inj proc ankle arthr CPT 27648 | $345.40 | $628.00 | $2,181.00 – $9,837.00 | 2 |
| Inj proc elbow arthro CPT 24220 | $397.10 | $722.00 | $2,181.00 – $9,837.00 | 2 |
| Inj proc for lymphang CPT 38790 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Inj proc myelogram lumbar CPT 62284 | $1,274.90 | $2,318.00 | $2,181.00 – $9,837.00 | 2 |
| Inj proc sialogram CPT 42550 | $283.25 | $515.00 | $2,181.00 – $9,837.00 | 2 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.66 – $1.98 | 6 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.43 – $4.30 | 6 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.14 – $5.82 | 6 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.31 – $1.17 | 6 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.71 – $2.12 | 6 |
| Inj retro urethrocysto CPT 51610 | $447.70 | $814.00 | $2,181.00 – $9,837.00 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $13.00 – $35.39 | 6 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $12,553.71 – $304,958.12 | 2 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $33.59 – $104.49 | 2 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.03 – $40.13 | 2 |
| Inj scleros sol mult veins CPT 36471 | $648.45 | $1,179.00 | $394.86 – $4,217.00 | 3 |
| Inj scleros sol sgl vein CPT 36470 | $550.00 | $1,000.00 | $394.86 – $4,217.00 | 3 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $2.16 – $2.72 | 2 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $539.60 – $1,667.80 | 2 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $43.00 – $107.22 | 2 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $17.73 – $48.26 | 6 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.12 – $4.36 | 2 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $61.43 – $167.24 | 6 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $550.00 | $1,000.00 | $394.86 – $4,217.00 | 3 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $18.72 – $56.17 | 6 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $74.80 – $217.09 | 6 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.13 – $49.35 | 6 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $338.53 – $921.64 | 6 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $40.64 – $110.65 | 6 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $32.42 – $88.26 | 6 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.80 – $4.90 | 6 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $37.31 – $101.57 | 6 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $352.56 – $959.84 | 6 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.05 – $0.16 | 6 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $1.30 – $4.09 | 2 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.03 – $0.09 | 6 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $2.85 – $2.85 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $9,837.00 – $9,837.00 | 1 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $9,837.00 – $9,837.00 | 1 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $9.21 – $9.21 | 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.