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 |
|---|---|---|---|---|
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Mastoids complete CPT 70130 | $251.90 | $458.00 | $98.57 – $101.55 | 2 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Mastopexy CPT 19316 | not published | not published | $6,449.81 – $13,352.00 | 3 |
| Mast radical CPT 19305 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $6,449.81 – $13,352.00 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $86.35 – $235.09 | 6 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,987.77 – $6,987.77 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $21.50 – $64.49 | 6 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $61.41 | 4 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $47.76 | 4 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $74.97 | 4 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $143.00 | $260.00 | $14.46 – $25.31 | 4 |
| Mayo aathr protein s free CPT 85306 | $138.60 | $252.00 | $15.32 – $26.81 | 4 |
| Mayo activated protein c resistance assay CPT 85307 | $139.15 | $253.00 | $15.32 – $26.81 | 4 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $301.95 | $549.00 | $38.57 – $67.50 | 4 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $83.60 | $152.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $145.75 | $265.00 | $27.15 – $27.15 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $116.60 | $212.00 | $14.78 – $25.87 | 4 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $27.15 – $27.15 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $22.55 | $41.00 | $13.44 – $23.52 | 4 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $15.08 – $26.39 | 4 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $31.35 | $57.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $131.45 | $239.00 | $27.15 – $27.15 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $460.90 | $838.00 | $121.63 – $212.85 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $404.80 | $736.00 | $91.66 – $160.41 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $239.75 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $5,593.50 | $10,170.00 | $1,160.00 – $2,030.00 | 4 |
| Mayo androstenedione CPT 82157 | not published | not published | $29.28 – $51.24 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $25.30 | $46.00 | $14.60 – $25.55 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $18.92 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $93.50 | $170.00 | $15.05 – $26.34 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | $271.15 | $493.00 | $30.86 – $54.01 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $123.20 | $224.00 | $35.09 – $61.41 | 4 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $107.80 | $196.00 | $27.15 – $27.15 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $18.15 | $33.00 | $10.18 – $17.82 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $253.47 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $375.59 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $110.00 | $200.00 | $12.90 – $22.58 | 4 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $160.60 | $292.00 | $27.15 – $27.15 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $13.19 – $23.08 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $81.40 | $148.00 | $8.93 – $15.63 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $89.10 | $162.00 | $13.60 – $23.80 | 4 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $123.75 | $225.00 | $27.15 – $27.15 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $16.87 – $29.52 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $168.85 | $307.00 | $26.78 – $46.87 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $328.90 | $598.00 | $122.22 – $213.89 | 4 |
| Mayo ceruloplasmin CPT 82390 | $88.55 | $161.00 | $10.74 – $18.80 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $288.75 | $525.00 | $14.12 – $24.71 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $111.65 | $203.00 | $12.88 – $22.54 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $11.82 – $20.69 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $100.10 | $182.00 | $12.68 – $22.19 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $990.55 | $1,801.00 | $116.49 – $203.86 | 4 |
| Mayo chromium CPT 82495 | not published | not published | $20.28 – $35.49 | 4 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $175.45 | $319.00 | $27.15 – $27.15 | 1 |
| Mayo coccidioides antibody CPT 86635 | $111.65 | $203.00 | $11.47 – $20.07 | 4 |
| Mayo cocou cortisone urine CPT 82542 | $337.70 | $614.00 | $24.09 – $42.16 | 4 |
| Mayo cortisol free CPT 82530 | $143.00 | $260.00 | $16.71 – $29.24 | 4 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $101.20 | $184.00 | $42.13 – $73.73 | 4 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $45.65 | $83.00 | $12.12 – $21.21 | 4 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $45.65 | $83.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $175.45 | $319.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $19.40 – $33.95 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $165.49 – $640.79 | 2 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $106.70 | $194.00 | $13.25 – $23.19 | 4 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $148.50 | $270.00 | $25.27 – $44.22 | 4 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $29.28 – $51.24 | 4 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $16.87 | 4 |
| Mayo efpo chloride stool CPT 82438 | $54.45 | $99.00 | $5.00 – $8.75 | 4 |
| Mayo estriol CPT 82677 | $111.10 | $202.00 | $24.18 – $42.32 | 4 |
| Mayo estrone CPT 82679 | not published | not published | $24.95 – $43.66 | 4 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $169.40 | $308.00 | $16.34 – $28.60 | 4 |
| Mayo everolimus therapeutic drug level CPT 80169 | $72.05 | $131.00 | $13.73 – $24.03 | 4 |
| Mayo factor ii CPT 85210 | $57.75 | $105.00 | $12.98 – $22.72 | 4 |
| Mayo factor v CPT 85220 | $119.90 | $218.00 | $17.65 – $30.89 | 4 |
| Mayo factor vii CPT 85230 | $231.55 | $421.00 | $17.90 – $31.33 | 4 |
| Mayo factor viii vw factor antigen CPT 85246 | $112.20 | $204.00 | $22.94 – $40.15 | 4 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $22.94 – $40.15 | 4 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $147.40 | $268.00 | $22.94 – $40.15 | 4 |
| Mayo factor x CPT 85260 | $133.10 | $242.00 | $17.90 – $31.33 | 4 |
| Mayo factor xi CPT 85270 | $130.90 | $238.00 | $17.90 – $31.33 | 4 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.80 – $29.40 | 4 |
| Mayo fbl culture fungi blood CPT 87103 | $74.25 | $135.00 | $20.46 – $35.81 | 4 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $80.46 – $140.81 | 4 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $7.82 – $13.69 | 4 |
| Mayo fibrinogen antigen CPT 85385 | $63.25 | $115.00 | $14.46 – $25.31 | 4 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $102.85 | $187.00 | $21.67 – $37.92 | 4 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,549.90 | $2,818.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $28.60 | $52.00 | $4.75 – $8.31 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $202.40 | $368.00 | $35.09 – $61.41 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $61.41 | 4 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $101.20 | $184.00 | $13.79 – $24.13 | 4 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $163.90 | $298.00 | $25.81 – $45.17 | 4 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $74.25 | $135.00 | $8.89 – $15.56 | 4 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $124.85 | $227.00 | $13.52 – $23.66 | 4 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $143.00 | $260.00 | $27.17 – $47.55 | 4 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $408.10 | $742.00 | $17.27 – $30.22 | 4 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $14.99 – $26.23 | 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.