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 |
|---|---|---|---|---|
| Kit lead specify 5-6-5 HCPCS C1778 | $1,412.98 | $2,569.05 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $23.25 – $69.74 | 6 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,561.89 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,561.89 – $17,116.00 | 3 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Knee MRI (with and without contrast) CPT 73723 | $3,228.50 | $5,870.00 | $338.87 – $964.14 | 2 |
| Knee MRI (with contrast) CPT 73722 | $2,806.65 | $5,103.00 | $761.45 – $796.11 | 2 |
| Knee MRI (without contrast) CPT 73721 | $1,185.25 | $2,155.00 | $231.76 – $443.07 | 2 |
| Knee X-ray CPT 73564 | $191.40 | $348.00 | $73.83 – $101.55 | 2 |
| Ko elastic w/joints pre ots HCPCS L1812 | $91.33 | $166.06 | not published | 0 |
| Kras gene addl variants CPT 81276 | $548.90 | $998.00 | $193.25 – $338.19 | 4 |
| Kras gene variants exon 2 CPT 81275 | $112.75 | $205.00 | $193.25 – $338.19 | 4 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $3,968.20 – $3,968.20 | 1 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $14,758.00 – $25,004.00 | 3 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $14,758.00 – $25,004.00 | 3 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.38 – $1.26 | 6 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $40.15 | $73.00 | $6.04 – $10.57 | 4 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $2.30 – $6.91 | 6 |
| Lactation class HCPCS S9443 | $149.60 | $272.00 | not published | 0 |
| Lactic acid CPT 83605 | $129.80 | $236.00 | $11.57 – $20.25 | 4 |
| Lactoferrin fecal qualitative CPT 83630 | $105.05 | $191.00 | $19.70 – $34.48 | 4 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $34.35 | 4 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $14,758.00 – $25,004.00 | 2 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Laminotomy single cervical CPT 63040 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $9,837.00 – $10,137.00 | 2 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $37.43 – $107.68 | 6 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.25 – $0.25 | 1 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $10,325.10 – $25,004.00 | 3 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $10,325.10 – $15,012.00 | 3 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $10,325.10 – $25,004.00 | 3 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $13,176.00 – $15,012.00 | 2 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Laparoscopic proc CPT 45400 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $13,176.00 – $15,012.00 | 2 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy islet cell trans HCPCS G0342 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy lysis CPT 58660 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $4,137.00 – $4,743.00 | 2 |
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.