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 |
|---|---|---|---|---|
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $414.37 | $753.40 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $3,610.02 | $6,563.68 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $1.96 | $3.56 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $1.96 | $3.56 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $35.09 | 4 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $73.08 | 4 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,378.20 | $4,324.00 | $231.76 – $231.76 | 1 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $21.44 | 4 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Lengthening of palate CPT 42227 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $7,048.20 – $10,137.00 | 3 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $8,433.00 – $17,116.00 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $12,470.63 – $16,164.00 | 3 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Lens, intraocular (new tech) HCPCS C1780 | $470.04 | $854.62 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $475.46 | $864.48 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $227.30 | $413.28 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $395.42 – $395.42 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.51 – $10.54 | 6 |
| Leukacyte transfusion CPT 86950 | not published | not published | $86.14 – $165.49 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $18.18 | 4 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $160.34 – $469.06 | 6 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,670.30 – $4,547.40 | 6 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $11.59 – $412.47 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $662.23 | 6 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $42.06 – $142.61 | 6 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $5.28 – $5.28 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.28 – $0.85 | 6 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.09 – $0.26 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.05 – $0.16 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $66.55 | $121.00 | $13.25 – $23.19 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.03 – $3.08 | 6 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $1,023.31 – $1,023.31 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $7.01 – $21.78 | 6 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,148.99 – $15,012.00 | 3 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.17 – $0.17 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.03 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $14.69 – $25.71 | 4 |
| Lift heel adj small gl60404sm HCPCS L3332 | $7.61 | $13.83 | not published | 0 |
| Ligate esophagus veins CPT 43400 | not published | not published | $8,960.00 – $17,116.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,066.96 – $4,743.00 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Ligation common iliac vein CPT 37660 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,066.96 – $4,743.00 | 3 |
| Ligation major artery chest CPT 37616 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,066.96 – $4,743.00 | 3 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,404.97 – $10,137.00 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Ligation of shunt CPT 49428 | not published | not published | $4,137.00 – $8,433.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $3,043.97 – $3,043.97 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $124.98 – $124.98 | 1 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Limited autopsy CPT 88036 | not published | not published | $118.75 – $118.75 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $105.55 – $105.55 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $57.30 – $57.30 | 1 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.24 – $18.71 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $3.47 – $10.42 | 6 |
| Lipase CPT 83690 | $116.05 | $211.00 | $6.89 – $12.06 | 4 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Lipoprotein blood high res frac & quant CPT 83701 | $170.50 | $310.00 | $33.86 – $59.26 | 4 |
| Lipoprotein blood quant CPT 83704 | $157.30 | $286.00 | $34.19 – $59.83 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $63.25 | $115.00 | $8.19 – $14.33 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $70.95 | $129.00 | $10.50 – $18.38 | 4 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $59.83 | 4 |
| Lip surgery procedure CPT 40799 | not published | not published | $230.06 – $13,723.00 | 3 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $516,442.29 – $1,406,014.14 | 6 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $23.08 | 4 |
| Lithium therapeutic drug level CPT 80178 | $99.55 | $181.00 | $6.61 – $11.57 | 4 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $5,925.15 | $10,773.00 | not published | 0 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $8,960.00 – $8,960.00 | 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.