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 |
|---|---|---|---|---|
| Medial canthopexy CPT 21280 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $362.46 – $2,246.93 | 2 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $1.47 – $1.47 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $1.25 – $1.25 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $834.12 – $834.12 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $834.12 – $834.12 | 1 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $35.13 – $35.13 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $120.88 – $715.82 | 6 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $120.88 – $371.56 | 6 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $26.31 – $78.93 | 6 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $120.88 – $495.99 | 6 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $215,040.47 – $215,040.47 | 1 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $120.88 – $459.89 | 6 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $71.82 – $195.53 | 6 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $63.30 – $172.34 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $751.41 – $751.41 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $9.05 – $30.41 | 6 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $20.26 – $20.26 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $30.54 – $83.14 | 6 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $41.76 – $41.76 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.43 – $1.29 | 6 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.36 – $4.08 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $69.85 | $127.00 | $8.46 – $14.81 | 4 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $200.20 | $364.00 | $10.56 – $18.48 | 4 |
| Metabolic panel ionized ca CPT 80047 | $72.05 | $131.00 | $13.73 – $24.03 | 4 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.63 – $4.89 | 6 |
| Methadone injection HCPCS J1230 | not published | not published | $20.91 – $62.74 | 6 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $1.06 – $1.06 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $6.36 – $19.08 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.20 – $0.60 | 6 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.58 – $7.75 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $138.60 | $252.00 | $38.57 – $67.50 | 4 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $136.13 – $136.13 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $10.87 – $20.64 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $21.29 – $63.86 | 6 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $5.20 – $5.20 | 1 |
| Methylphenidate CPT 80360 | $110.00 | $200.00 | $27.15 – $27.15 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.24 – $0.73 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.11 – $0.33 | 6 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.25 – $0.75 | 6 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.13 – $3.38 | 6 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.08 | 6 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $159.53 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $218.12 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.28 – $0.85 | 6 |
| Microalbumin urine screen CPT 82044 | $40.70 | $74.00 | $6.23 – $10.90 | 4 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $70.30 | 4 |
| Microdissection laser CPT 88380 | not published | not published | $83.28 – $83.28 | 1 |
| Microdissection manual CPT 88381 | $370.70 | $674.00 | $211.98 – $211.98 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $39.34 | 4 |
| Microsatellite instability CPT 81301 | $112.75 | $205.00 | $348.56 – $609.98 | 4 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $124.98 – $124.98 | 1 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $15,012.00 – $16,164.00 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.13 – $0.39 | 6 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.17 – $0.51 | 6 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $101.55 – $151.86 | 2 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $140.22 – $140.22 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.57 – $4.71 | 6 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.74 – $8.45 | 2 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $3.89 – $3.89 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $68.56 – $186.65 | 6 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $68.07 – $185.33 | 6 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $7.57 – $7.57 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $5,817.00 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.60 – $69.70 | 6 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $313.00 – $852.14 | 6 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $79.06 | 6 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Mlh1 gene CPT 81288 | $610.50 | $1,110.00 | $192.32 – $336.56 | 4 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $354.20 | 4 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,181.95 | 4 |
| Mlh1 gene known variants CPT 81293 | $730.95 | $1,329.00 | $331.00 – $579.25 | 4 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.03 – $17.03 | 1 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.75 – $4.75 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $12,470.63 – $16,164.00 | 3 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $84.53 – $128.55 | 2 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $21.53 – $21.53 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $129.23 – $129.23 | 1 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $14.34 – $66.03 | 4 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.22 – $3.22 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $30.90 | 6 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $2,792.18 | $5,076.69 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $565.28 – $1,806.77 | 6 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $129.32 – $129.32 | 1 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $111.93 | 4 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $263.08 | 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.