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 |
|---|---|---|---|---|
| Parotid duct diversion CPT 42509 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Partial excision of lip CPT 40500 | not published | not published | $3,220.41 – $4,743.00 | 3 |
| Partial hip replacement CPT 27125 | not published | not published | $8,433.00 – $17,116.00 | 3 |
| Partial hysterectomy CPT 58180 | not published | not published | $10,137.00 – $13,176.00 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $8,433.00 – $17,116.00 | 2 |
| Partial removal donor liver CPT 47140 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of bladder CPT 51550 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,241.66 – $8,701.00 | 3 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,241.66 – $8,701.00 | 3 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of larynx CPT 31368 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Partial removal of liver CPT 47125 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Partial removal of pancreas CPT 48145 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Partial removal of radius CPT 25151 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of radius CPT 25230 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of rectum CPT 45111 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of rectum CPT 45116 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Partial removal of thyroid CPT 60220 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Partial removal of thyroid CPT 60225 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of toe CPT 28160 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Partial removal of tongue CPT 41120 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Partial removal of tongue CPT 41130 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Partial thyroid excision CPT 60210 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.55 – $7.66 | 6 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $103.11 – $165.49 | 2 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $54.79 – $165.49 | 2 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $49.35 – $49.35 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $25.72 – $50.62 | 2 |
| Patient recorded spirometry CPT 94014 | not published | not published | $433.92 – $433.92 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $209.73 – $209.73 | 1 |
| Pca3/klk3 antigen CPT 81313 | $916.30 | $1,666.00 | $255.05 – $446.34 | 4 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $327.89 – $983.68 | 6 |
| Pdgfra gene CPT 81314 | $917.40 | $1,668.00 | $329.51 – $576.64 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $194.88 – $2,181.00 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $124.98 – $124.98 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $124.98 – $124.98 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $420.95 – $420.95 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $2,471.06 – $2,471.06 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $27,070.53 – $73,699.51 | 6 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $59.94 | 6 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $134.25 – $365.49 | 6 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $149.13 – $445.40 | 6 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $143.67 – $684.02 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $67.02 – $307.38 | 6 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $105.11 – $446.90 | 6 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $3,537.42 – $3,537.42 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,565.32 – $9,706.59 | 6 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $225.66 – $617.81 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,955.80 | $3,556.00 | $170.37 – $528.70 | 2 |
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.