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 |
|---|---|---|---|---|
| Pelvic CT scan (with contrast) CPT 72193 | $1,557.05 | $2,831.00 | $170.37 – $444.00 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,463.55 | $2,661.00 | $101.55 – $242.29 | 2 |
| Pelvic exenteration CPT 45126 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,556.85 | $6,467.00 | $338.87 – $1,041.24 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | $2,858.90 | $5,198.00 | $338.87 – $860.44 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $2,541.55 | $4,621.00 | $231.76 – $803.33 | 2 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,048.20 – $10,137.00 | 3 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $617.65 | $1,123.00 | $101.55 – $202.30 | 2 |
| Pelvic Ultrasound (limited) CPT 76857 | $524.70 | $954.00 | $60.52 – $101.55 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $59.35 – $161.58 | 6 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.77 – $10.26 | 6 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.37 – $47.29 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $26.98 – $73.46 | 6 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.78 – $2.33 | 6 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $128.47 – $128.47 | 1 |
| Penile injection CPT 54235 | not published | not published | $242.69 – $4,217.00 | 3 |
| Penile vascular study CPT 93980 | not published | not published | $101.55 – $101.55 | 1 |
| Penile vascular study CPT 93981 | not published | not published | $101.55 – $101.55 | 1 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,423.93 – $15,012.00 | 3 |
| Penis study CPT 54240 | not published | not published | $209.73 – $4,217.00 | 3 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $79.50 – $238.49 | 6 |
| Pentazocine injection HCPCS J3070 | not published | not published | $72.20 – $72.20 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $19.30 – $173.61 | 2 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,673.43 – $7,278.41 | 6 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $9,088.20 | $16,524.00 | $13,352.00 – $25,004.00 | 3 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $9,088.20 | $16,524.00 | $11,213.25 – $25,004.00 | 3 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | $28,639.05 | $52,071.00 | $13,352.00 – $25,004.00 | 3 |
| Perc drug-el cor stent bran HCPCS C9601 | $6,334.90 | $11,518.00 | $2,181.00 – $9,837.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | $9,495.75 | $17,265.00 | $11,213.25 – $25,004.00 | 3 |
| Perc rf ablate renal tumor CPT 50592 | $3,401.20 | $6,184.00 | $5,872.22 – $17,116.00 | 3 |
| Percut ablate liver rf CPT 47382 | $10,085.90 | $18,338.00 | $5,872.22 – $17,116.00 | 3 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $41.88 – $125.64 | 6 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,294.15 | $2,353.00 | $1,529.03 – $4,743.00 | 3 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,803.19 – $10,137.00 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Peripheral vascular rehab CPT 93668 | $119.35 | $217.00 | $57.30 – $57.30 | 1 |
| Peri-proc device eval icd CPT 93287 | $143.55 | $261.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $125.40 | $228.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Peritoneogram rs&i CPT 74190 | $689.15 | $1,253.00 | $89.70 – $530.75 | 2 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $388.31 – $571.72 | 2 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.77 – $1.77 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $901.45 | $1,639.00 | $687.83 – $4,217.00 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | $732.05 | $1,331.00 | $687.83 – $4,217.00 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,195.08 – $16,164.00 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $11,957.00 | $21,740.00 | $9,195.08 – $16,164.00 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,213.25 – $25,004.00 | 3 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $13,352.00 – $25,004.00 | 3 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $11,213.25 – $25,004.00 | 3 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $11,213.25 – $25,004.00 | 3 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | $4,224.00 | $7,680.00 | $5,872.22 – $17,116.00 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Perq plmt bile duct stent CPT 47540 | $5,377.90 | $9,778.00 | $5,872.22 – $17,116.00 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $327.25 | $595.00 | $242.69 – $4,217.00 | 3 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $17,806.11 – $40,677.00 | 2 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $17,806.11 – $41,823.00 | 2 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $17,806.11 – $41,823.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $4,137.00 – $8,960.00 | 3 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $20.97 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.23 – $44.19 | 6 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.90 – $171.48 | 6 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,789.40 | $8,708.00 | $1,388.96 – $2,220.09 | 2 |
| Pet CT whole body initial CPT 78816 | $5,267.35 | $9,577.00 | $1,388.96 – $2,239.45 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,789.40 | $8,708.00 | $1,342.42 – $1,388.96 | 2 |
| Pet image full body CPT 78813 | not published | not published | $1,388.96 – $1,761.24 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $1,257.53 – $1,389.30 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,388.96 – $1,754.68 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,388.96 – $2,000.68 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $388.31 – $388.31 | 1 |
| Pet scan brain perf study CPT 78609 | $4,789.40 | $8,708.00 | $209.35 – $209.35 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $581.83 | $1,057.87 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.47 – $19.47 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $28.46 – $28.46 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.05 – $10.05 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Ph body fluid CPT 83986 | $13.20 | $24.00 | $3.58 – $6.27 | 4 |
| Phencyclidine (pcp) CPT 83992 | $137.50 | $250.00 | $41.91 – $41.91 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $29.44 – $88.31 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $122.10 | $222.00 | $15.30 – $26.78 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $288.62 – $1,223.23 | 6 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 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.