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 |
|---|---|---|---|---|
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Intra-atrial pacing CPT 93610 | not published | not published | $4,137.00 – $7,576.07 | 2 |
| Intra-atrial recording CPT 93602 | $6,545.00 | $11,900.00 | $4,137.00 – $7,576.07 | 2 |
| Intracard echo interv w/s&i CPT 93662 | $931.70 | $1,694.00 | $2,181.00 – $2,181.00 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intracranial angioplasty CPT 61630 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $231.76 – $231.76 | 1 |
| Intracranial limited study CPT 93888 | not published | not published | $101.55 – $101.55 | 1 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Intranasal reconstruction CPT 30620 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $523.87 – $4,217.00 | 3 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $84.53 – $84.53 | 1 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $212.70 – $212.70 | 1 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $428.53 – $4,217.00 | 3 |
| Intraventricular pacing CPT 93612 | $6,857.95 | $12,469.00 | $4,137.00 – $7,576.07 | 2 |
| Intrinsic factor antibody CPT 86340 | $122.10 | $222.00 | $15.08 – $26.39 | 4 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $129.32 – $129.32 | 1 |
| Intro cath dialysis circuit CPT 36901 | $1,894.75 | $3,445.00 | $1,529.03 – $4,137.00 | 2 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,384.30 | $13,426.00 | $5,528.40 – $17,116.00 | 2 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $14,369.30 | $26,126.00 | $11,213.25 – $25,004.00 | 2 |
| Intro catheter aorta CPT 36200 | $1,042.80 | $1,896.00 | $2,181.00 – $9,837.00 | 2 |
| Intro cath svc/ivc CPT 36010 | $1,135.75 | $2,065.00 | $2,181.00 – $9,837.00 | 2 |
| Intro long gi tube CPT 44500 | $253.00 | $460.00 | $880.98 – $4,217.00 | 3 |
| Intro long gi tube w/mult fluo CPT 74340 | $617.65 | $1,123.00 | $218.03 – $218.03 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,728.87 – $4,743.00 | 3 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,373.70 | $6,134.00 | $2,181.00 – $9,837.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,210.90 | $5,838.00 | $2,181.00 – $9,837.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $385.55 | $701.00 | $230.06 – $4,217.00 | 3 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $57.30 – $57.30 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $458.82 – $458.82 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $396.32 – $567.86 | 2 |
| Ionm in operatng room 15 min CPT 95940 | $88.00 | $160.00 | not published | 0 |
| Ionm remote/>1 pt or per hr CPT 95941 | $277.20 | $504.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.41 – $1.22 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.14 – $0.43 | 6 |
| Io radiation tx management CPT 77469 | not published | not published | $867.69 – $867.69 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $180.22 – $490.64 | 6 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.36 – $1.09 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $4.92 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.28 – $177.72 | 6 |
| Iron CPT 83540 | $40.70 | $74.00 | $6.47 – $11.32 | 4 |
| Iron binding capacity CPT 83550 | $60.50 | $110.00 | $8.74 – $15.30 | 4 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $17.23 – $46.91 | 6 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $12.04 | 4 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.24 – $0.71 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $32.98 – $36.28 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $81.95 | $149.00 | $57.30 – $57.30 | 1 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $57.30 – $4,217.00 | 3 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $78.86 – $214.70 | 6 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Ivc venogram s&i CPT 75825 | $3,188.90 | $5,798.00 | $212.77 – $3,066.96 | 2 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $159.50 | $290.00 | $69.94 – $69.94 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $160.05 | $291.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $162.25 | $295.00 | $45.48 – $45.48 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $261.25 | $475.00 | $206.61 – $206.61 | 1 |
| IV inj ra drug dx study CPT 78808 | $303.60 | $552.00 | $120.48 – $388.31 | 2 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $433.92 – $4,217.00 | 3 |
| Ivp w/nephrotomography CPT 74415 | $507.10 | $922.00 | $170.37 – $297.46 | 2 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $170.37 – $225.14 | 2 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $136.21 – $370.84 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $324.10 | 4 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $29.56 | 4 |
| J-tube placement CPT 44015 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $14,090.25 – $17,116.00 | 3 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $120.88 – $1,921.13 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $151.25 | $275.00 | $27.15 – $27.15 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $27.07 | 4 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $54.45 | $99.00 | $8.17 – $14.30 | 4 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.29 – $1.37 | 6 |
| Kidney endoscopy CPT 50551 | not published | not published | $4,137.00 – $8,960.00 | 3 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,420.00 – $8,433.00 | 3 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $4,137.00 – $9,195.08 | 3 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,420.00 – $4,743.00 | 3 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $8,701.00 – $16,164.00 | 3 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $4,137.00 – $9,195.08 | 3 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $4,137.00 – $8,960.00 | 3 |
| Kidney function study CPT 78725 | not published | not published | $248.13 – $388.31 | 2 |
| Kidney imaging morphology CPT 78700 | not published | not published | $388.31 – $413.18 | 2 |
| Kidney imag w/bld flow multi CPT 78709 | $3,643.75 | $6,625.00 | $527.40 – $813.02 | 2 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $524.15 | $953.00 | $513.66 – $527.40 | 2 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $693.55 | $1,261.00 | $101.55 – $204.21 | 2 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $2,956.25 | $5,375.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $641.30 | $1,166.00 | $124.87 – $218.52 | 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.