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 |
|---|---|---|---|---|
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $8,524.27 – $15,012.00 | 3 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $6,855.14 – $13,352.00 | 3 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,621.46 – $8,701.00 | 3 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $5,750.12 – $8,960.00 | 2 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $5,750.12 – $8,960.00 | 2 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,728.87 – $8,701.00 | 3 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $362.79 | 4 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $362.79 | 4 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $362.79 | 4 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $906.99 | 4 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $981.39 – $981.39 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,497.10 | $2,722.00 | $979.94 – $979.94 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $388.31 – $416.03 | 2 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $38.12 | 4 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $226.65 – $257.22 | 2 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $107.14 – $226.65 | 2 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $138.17 – $226.65 | 2 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $128.06 – $226.65 | 2 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,555.85 | $4,647.00 | $1,089.54 – $1,257.53 | 2 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $127.64 – $226.65 | 2 |
| Nudt15 gene common variants CPT 81306 | $217.25 | $395.00 | $291.36 – $509.88 | 4 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $92.65 – $252.24 | 6 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,333.45 – $3,986.17 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $75.21 – $204.77 | 6 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $393.80 | $716.00 | $578.46 – $578.46 | 1 |
| Observation per hour HCPCS G0378 | $1.39 | $2.53 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | $228.80 | $416.00 | $74.86 – $131.01 | 4 |
| Obstetrics panel CPT 80055 | $238.15 | $433.00 | $47.81 – $83.67 | 4 |
| Obtaining screen pap smear HCPCS Q0091 | $38.50 | $70.00 | not published | 0 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $101.55 – $161.38 | 2 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $240.35 | $437.00 | $80.51 – $80.51 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $57.81 – $157.39 | 6 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.59 – $1.77 | 6 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $204.59 – $556.99 | 6 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $534.23 – $4,217.00 | 3 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,168.76 – $15,012.00 | 3 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $62.23 – $169.42 | 2 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $172.41 – $172.41 | 1 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $172.41 – $172.41 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $0.93 – $2.78 | 6 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.92 – $8.75 | 6 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $40.12 – $109.23 | 6 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $6,777.75 | 4 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $4,392.87 | 4 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $6,777.75 | 4 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $6,777.75 | 4 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $6,777.75 | 4 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $12,587.75 | 4 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $5,453.00 | 4 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $890.52 | 4 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,014.06 | 4 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $310.73 | 4 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $5,024.25 | 4 |
| Oncology prostate prob score CPT 81539 | $1,119.25 | $2,035.00 | $760.00 – $1,330.00 | 4 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $910.00 | 4 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $6,562.50 | 4 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $1,569.75 | 4 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $455.88 | 4 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $112.72 | 4 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $112.72 | 4 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $3,552.50 | 4 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $6,777.75 | 4 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $6,777.75 | 4 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $6,300.00 | 4 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $13,608.00 | 4 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.04 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.09 – $0.26 | 6 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $3.88 – $3.88 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $165.49 – $165.49 | 1 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $8,960.00 – $10,137.00 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,803.19 – $10,137.00 | 3 |
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.