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 |
|---|---|---|---|---|
| Mopath procedure level 5 CPT 81404 | $605.00 | $1,100.00 | $274.83 – $480.95 | 4 |
| Mopath procedure level 6 CPT 81405 | $990.00 | $1,800.00 | $301.35 – $527.36 | 4 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $495.04 | 4 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,480.97 | 4 |
| Mopath procedure level 9 CPT 81408 | $643.50 | $1,170.00 | $2,000.00 – $3,500.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $4.63 – $13.90 | 6 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $5.27 – $19.91 | 6 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $467.61 – $467.61 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $9.82 – $29.46 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $165.49 – $323.38 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $87.82 – $348.17 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $552.75 | $1,005.00 | $90.55 – $165.49 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $640.96 – $1,745.01 | 6 |
| Motion analysis video/3d CPT 96000 | not published | not published | $362.46 – $362.46 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $834.12 – $834.12 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $433.92 – $433.92 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $50.07 – $50.07 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $881.65 | $1,603.00 | $165.49 – $389.86 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $94.81 – $94.81 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $68.04 – $165.49 | 2 |
| Mpl gene analysis common variants CPT 81338 | $475.20 | $864.00 | $150.33 – $263.08 | 4 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $35.09 | 4 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $529.59 | 4 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $226.31 – $226.31 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $831.88 – $831.88 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $817.60 – $817.60 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $338.87 – $338.87 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $231.76 – $231.76 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | $2,903.45 | $5,279.00 | $338.87 – $338.87 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $829.97 – $829.97 | 1 |
| MRA pelvis CPT 72198 | not published | not published | $829.02 – $829.02 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $338.87 – $338.87 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $231.76 – $231.76 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $866.12 – $866.12 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $845.19 – $845.19 | 1 |
| MRA w/cont, abd HCPCS C8900 | $2,512.40 | $4,568.00 | $338.87 – $338.87 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $338.87 – $338.87 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $338.87 – $338.87 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $338.87 – $338.87 | 1 |
| MRA without cont, abd HCPCS C8901 | $2,454.10 | $4,462.00 | $231.76 – $231.76 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $231.76 – $231.76 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $231.76 – $231.76 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $231.76 – $231.76 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,619.65 | $4,763.00 | $338.87 – $338.87 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,895.20 | $5,264.00 | $338.87 – $338.87 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $338.87 – $338.87 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $338.87 – $338.87 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,637.25 | $4,795.00 | $338.87 – $338.87 | 1 |
| Mr elastography CPT 76391 | not published | not published | $231.76 – $483.80 | 2 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $10,823.26 – $16,164.00 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $170.37 – $3,630.33 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $530.75 – $3,424.35 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $170.37 – $3,424.35 | 2 |
| MRI breast c- unilateral CPT 77046 | $347.05 | $631.00 | $231.76 – $472.37 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $777.86 – $777.86 | 1 |
| MRI breast without cont bi CPT 77047 | $694.10 | $1,262.00 | $231.76 – $469.51 | 2 |
| MRI breast w IV cont bi CPT 77049 | $3,549.15 | $6,453.00 | $774.03 – $774.03 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,202.75 | $4,005.00 | $231.76 – $533.47 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,591.60 | $4,712.00 | $338.87 – $783.73 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $761.45 – $943.23 | 2 |
| MRI chest without contrast CPT 71550 | $3,080.00 | $5,600.00 | $231.76 – $907.05 | 2 |
| MRI chest without & w/contrast CPT 71552 | $3,752.65 | $6,823.00 | $338.87 – $1,238.20 | 2 |
| MRI chest w IV cont CPT 71551 | not published | not published | $761.45 – $985.06 | 2 |
| MRI fetal ea addl gestation CPT 74713 | $437.25 | $795.00 | $376.45 – $376.45 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,020.25 | $1,855.00 | $231.76 – $878.53 | 2 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $894.12 – $894.12 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $1,293.13 – $1,293.13 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,483.25 | $4,515.00 | $338.87 – $858.51 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,360.05 | $4,291.00 | $231.76 – $789.99 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,613.05 | $4,751.00 | $338.87 – $1,047.88 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,355.00 | $6,100.00 | $231.76 – $666.23 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $4,268.55 | $7,761.00 | $338.87 – $876.52 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $338.87 – $731.27 | 2 |
| MRI tmj CPT 70336 | $2,055.35 | $3,737.00 | $231.76 – $654.31 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,466.75 | $4,485.00 | $231.76 – $788.11 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,556.85 | $6,467.00 | $338.87 – $1,039.32 | 2 |
| MRI upper extremity w/dye CPT 73219 | $2,993.10 | $5,442.00 | $338.87 – $854.72 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | $4,948.90 | $8,998.00 | $338.87 – $338.87 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $170.37 – $170.37 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | $5,394.40 | $9,808.00 | $338.87 – $338.87 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,050.95 | $3,729.00 | $338.87 – $338.87 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $84.53 – $163.51 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $92.35 – $257.64 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $116.04 – $116.04 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $57.30 – $334.41 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $24.10 – $28.09 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $231.76 – $503.15 | 2 |
| Mr spectroscopy CPT 76390 | $264.55 | $481.00 | $84.53 – $998.78 | 2 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $373.28 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $667.98 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $591.03 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $416.50 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,123.24 | 4 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $539.00 | 4 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Mthfr gene analy common variants CPT 81291 | $928.40 | $1,688.00 | $65.34 – $114.35 | 4 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $47.04 | 4 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $74.97 | 4 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $10.26 | 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.