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 |
|---|---|---|---|---|
| Oral aprepitant HCPCS J8501 | not published | not published | $3.04 – $9.13 | 6 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $981.27 | 2 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.02 – $6.05 | 6 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $20.97 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $16.47 – $59.65 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.92 – $69.81 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $409.01 – $1,113.54 | 6 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,477.76 – $10,137.00 | 3 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,477.76 – $10,137.00 | 3 |
| Organic acids total quant ea spec CPT 83918 | $240.62 | $437.50 | $23.60 – $41.30 | 4 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.77 – $116.44 | 6 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.53 – $77.67 | 6 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,507.10 – $4,743.00 | 3 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $12.33 – $36.98 | 6 |
| Orthopantogram CPT 70355 | $212.30 | $386.00 | $23.39 – $84.53 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $57.30 – $57.30 | 1 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $100.33 – $341.14 | 6 |
| Oscillation chest wall mechanical per session CPT 94669 | $275.55 | $501.00 | $212.70 – $212.70 | 1 |
| Osmolality blood CPT 83930 | $59.40 | $108.00 | $6.61 – $11.57 | 4 |
| Osmolality urine CPT 83935 | $67.10 | $122.00 | $6.82 – $11.94 | 4 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $66.55 | $121.00 | not published | 0 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $2,181.00 – $16,164.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $8,433.00 – $17,116.00 | 3 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Ot evaluation high complexity patient/family CPT 97167 | $290.95 | $529.00 | $98.26 – $98.26 | 1 |
| Ot evaluation low complexity patient/family CPT 97165 | $200.75 | $365.00 | $98.26 – $98.26 | 1 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $229.90 | $418.00 | $98.26 – $98.26 | 1 |
| Other bone graft microvasc CPT 20962 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $40.48 | 4 |
| Oth resp proc, group HCPCS G0239 | $191.40 | $348.00 | $36.28 – $36.28 | 1 |
| Oth resp proc, indiv HCPCS G0238 | $50.05 | $91.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $102.30 | $186.00 | $48.45 – $48.45 | 1 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $124.30 | $226.00 | $44.64 – $44.64 | 1 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $123.20 | $224.00 | $26.94 – $26.94 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Ot re-evaluation patient/family CPT 97168 | $137.50 | $250.00 | $66.73 – $66.73 | 1 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $102.30 | $186.00 | $34.00 – $34.00 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $57.75 | $105.00 | $18.27 – $18.27 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $60.50 | $110.00 | $19.36 – $19.36 | 1 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $133.65 | $243.00 | $28.25 – $28.25 | 1 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $133.65 | $243.00 | $31.84 – $31.84 | 1 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $99.00 | $180.00 | $31.45 – $31.45 | 1 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $4,859.04 – $10,137.00 | 3 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $289.72 – $289.72 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $22.23 | 4 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $1.91 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $0.15 | 6 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $6.15 – $6.15 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $5.48 – $5.48 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $412.14 – $412.14 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $278.24 – $487.66 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $239.75 | 4 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.13 – $0.38 | 6 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.59 – $35.56 | 6 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $1,183.88 | 4 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $527.36 | 4 |
| Palifermin injection HCPCS J2425 | not published | not published | $33.99 – $92.53 | 6 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $120.88 – $981.49 | 5 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $3,924.49 – $3,924.49 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.74 – $40.13 | 6 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $5,781.96 | 2 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.50 – $1.49 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $13.88 – $41.63 | 6 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $164.92 – $449.00 | 6 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $26.63 – $26.63 | 1 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $125.07 – $125.07 | 1 |
| Parathormone (pth) intact CPT 83970 | $333.85 | $607.00 | $41.28 – $72.24 | 4 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,363.45 | $2,479.00 | $527.40 – $923.42 | 2 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Parathyroid planar imaging CPT 78070 | $673.75 | $1,225.00 | $388.31 – $722.06 | 2 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $388.31 – $828.62 | 2 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $4,859.04 – $15,012.00 | 3 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,449.81 – $15,012.00 | 3 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.81 – $2.42 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $194.88 – $4,217.00 | 3 |
| Parotid duct diversion CPT 42507 | not published | not published | $5,750.12 – $15,012.00 | 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.