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 |
|---|---|---|---|---|
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $150.70 | $274.00 | $20.81 – $36.42 | 4 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $164.45 | $299.00 | $20.81 – $36.42 | 4 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $61.41 | 4 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $134.75 | $245.00 | $16.07 – $28.12 | 4 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $76.45 | $139.00 | $11.98 – $20.97 | 4 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $221.65 | $403.00 | $35.09 – $61.41 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $88.55 | $161.00 | $35.09 – $61.41 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $140.80 | $256.00 | $35.09 – $61.41 | 4 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $35.09 – $61.41 | 4 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $301.40 | $548.00 | $42.84 – $74.97 | 4 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $397.10 | $722.00 | $72.19 – $126.33 | 4 |
| Mayo infliximab therapeutic drug level CPT 80230 | $251.35 | $457.00 | $38.57 – $67.50 | 4 |
| Mayo inhab inhibin a CPT 86336 | $148.50 | $270.00 | $15.59 – $27.28 | 4 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $22.66 | 4 |
| Mayo insulin antibodies CPT 86337 | $187.55 | $341.00 | $21.41 – $37.47 | 4 |
| Mayo iodine CPT 83789 | $103.95 | $189.00 | $24.11 – $42.19 | 4 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $27.11 – $47.44 | 4 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $160.05 | $291.00 | $27.11 – $47.44 | 4 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $109.45 | $199.00 | $13.25 – $23.19 | 4 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $128.70 | $234.00 | $12.79 – $22.38 | 4 |
| Mayo legionella antibody CPT 86713 | $103.40 | $188.00 | $15.30 – $26.78 | 4 |
| Mayo leptospira antibody igm CPT 86720 | $84.70 | $154.00 | $16.20 – $28.35 | 4 |
| Mayo lipoprotein electrophoresis CPT 83700 | $58.30 | $106.00 | $11.26 – $19.71 | 4 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $76.45 | $139.00 | $15.49 – $27.11 | 4 |
| Mayo manganese CPT 83785 | $101.20 | $184.00 | $26.65 – $46.64 | 4 |
| Mayo metanephrines plasma CPT 83835 | $143.55 | $261.00 | $16.94 – $29.65 | 4 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $119.90 | $218.00 | $27.15 – $27.15 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $91.85 | $167.00 | $12.05 – $21.90 | 4 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $47.30 | $86.00 | $18.40 – $32.20 | 4 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $108.35 | $197.00 | $14.55 – $25.46 | 4 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $1,517.45 | $2,759.00 | $18.64 – $32.62 | 4 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $137.00 – $239.75 | 4 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $324.10 | 4 |
| Mayo muramidase CPT 85549 | $63.25 | $115.00 | $18.75 – $32.81 | 4 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $370.70 | $674.00 | $18.40 – $32.20 | 4 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $31.59 | 4 |
| Mayo myoglobin CPT 83874 | $89.10 | $162.00 | $12.92 – $22.61 | 4 |
| Mayo nickel CPT 83885 | not published | not published | $24.51 – $42.89 | 4 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $154.00 | $280.00 | $27.15 – $27.15 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $264.55 | $481.00 | $27.15 – $27.15 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $74.25 | $135.00 | $27.15 – $27.15 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $106.70 | $194.00 | $21.21 – $37.12 | 4 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $28.79 | 4 |
| Mayo oxalate 24 hour urine CPT 83945 | $88.55 | $161.00 | $14.45 – $25.29 | 4 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $20.18 | 4 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $119.35 | $217.00 | $15.03 – $26.30 | 4 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $965.25 | $1,755.00 | $12.05 – $21.09 | 4 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $220.00 | $400.00 | $35.09 – $61.41 | 4 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $100.65 | $183.00 | $17.98 – $31.47 | 4 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $147.95 | $269.00 | $13.76 – $24.08 | 4 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $80.30 | $146.00 | $8.44 – $14.77 | 4 |
| Mayo pregnenolone CPT 84140 | $146.85 | $267.00 | $20.67 – $36.17 | 4 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $16.59 – $29.03 | 4 |
| Mayo proinsulin CPT 84206 | $207.35 | $377.00 | $26.69 – $46.71 | 4 |
| Mayo psaft prostate specific antigen free CPT 84154 | $12.65 | $23.00 | $18.39 – $32.18 | 4 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $115.97 | $210.86 | $18.40 – $32.20 | 4 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $101.20 | $184.00 | $13.36 – $23.38 | 4 |
| Mayo receptor assay transferrin soluble CPT 84238 | $297.00 | $540.00 | $36.57 – $64.00 | 4 |
| Mayo renin CPT 84244 | $183.15 | $333.00 | $21.99 – $38.48 | 4 |
| Mayo repu protein electrophoresis urine CPT 84166 | $94.60 | $172.00 | $17.83 – $31.20 | 4 |
| Mayo selenium CPT 84255 | $121.55 | $221.00 | $25.53 – $44.68 | 4 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $27.13 | 4 |
| Mayo serotonin CPT 84260 | $233.75 | $425.00 | $30.98 – $54.22 | 4 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $103.95 | $189.00 | $19.35 – $33.86 | 4 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $22.00 | $40.00 | $13.73 – $24.03 | 4 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $103.95 | $189.00 | $92.03 – $92.03 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $36.30 | $66.00 | $4.27 – $7.47 | 4 |
| Mayo tau phosphorylated 217 each CPT 84393 | $275.00 | $500.00 | $128.92 – $128.92 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $365.61 | 4 |
| Mayo tgrp testosterone free CPT 84402 | $46.75 | $85.00 | $25.47 – $44.57 | 4 |
| Mayo tgrp testosterone total CPT 84403 | $122.65 | $223.00 | $25.81 – $45.17 | 4 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $107.80 | $196.00 | $22.17 – $38.80 | 4 |
| Mayo thyroglobulin CPT 84432 | $121.55 | $221.00 | $16.06 – $28.11 | 4 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $122.10 | $222.00 | $10.18 – $17.82 | 4 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $37.95 | $69.00 | $12.39 – $21.68 | 4 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $100.10 | $182.00 | $27.15 – $27.15 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $39.05 | $71.00 | $51.28 – $89.74 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $110.00 | $200.00 | $14.16 – $24.78 | 4 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $215.05 | $391.00 | $13.54 – $23.70 | 4 |
| Mayo vasoactive intestinal peptide CPT 84586 | $196.90 | $358.00 | $35.33 – $61.83 | 4 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $72.05 | $131.00 | $20.24 – $35.42 | 4 |
| Mayo vitamin b3 (niacin) CPT 84591 | $114.95 | $209.00 | $17.06 – $29.86 | 4 |
| Mayo vitamin k CPT 84597 | $147.40 | $268.00 | $13.72 – $24.01 | 4 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $123.75 | $225.00 | $13.25 – $23.19 | 4 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $68.79 | 4 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,561.89 – $10,137.00 | 3 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $362.46 – $362.46 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $677.31 – $4,217.00 | 3 |
| Measurement post void urine by ultrasound CPT 51798 | $261.25 | $475.00 | $57.30 – $9,837.00 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $124.98 – $4,217.00 | 3 |
| Mecasermin injection HCPCS J2170 | not published | not published | $1,201.04 – $1,201.04 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $345.21 – $345.21 | 1 |
| #mec-opiates CPT 80356 | $172.70 | $314.00 | $27.15 – $27.15 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $262.50 | 4 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $923.77 | 4 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $210.00 | 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.