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 |
|---|---|---|---|---|
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.31 – $385.51 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.52 – $1.57 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $143.00 | $260.00 | $13.25 – $23.19 | 4 |
| Phlebotomy therapeutic CPT 99195 | $121.00 | $220.00 | $129.23 – $129.23 | 1 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,543.10 | $6,442.00 | $3,066.96 – $10,137.00 | 3 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,815.35 | $6,937.00 | $3,066.96 – $10,137.00 | 3 |
| Phosphorus CPT 84100 | $23.65 | $43.00 | $4.74 – $8.30 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $49.50 | $90.00 | $5.78 – $10.12 | 4 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $57.30 – $57.30 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $57.30 – $57.30 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $394.86 – $394.86 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $57.30 – $57.30 | 1 |
| Photopheresis CPT 36522 | not published | not published | $4,230.64 – $15,012.00 | 3 |
| Photosensitivity tests CPT 95056 | not published | not published | $129.23 – $129.23 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $50.62 – $56.79 | 2 |
| Phys blood bank serv reactj CPT 86078 | $204.60 | $372.00 | $56.79 – $165.49 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $28.09 – $56.79 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.45 – $7.34 | 6 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $9,837.00 – $9,837.00 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,309.16 | $2,380.30 | $346.49 – $905.07 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $480.95 | 4 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $717.88 – $4,217.00 | 3 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $98.68 – $98.68 | 1 |
| Pinworm exam CPT 87172 | $58.85 | $107.00 | $4.27 – $7.47 | 4 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $7.47 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.12 – $3.36 | 6 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $1,014.09 | 4 |
| Place breast cath for rad CPT 19297 | not published | not published | $9,837.00 – $17,116.00 | 2 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $13,352.00 – $17,116.00 | 3 |
| Place cath intracranial art CPT 36228 | $1,381.05 | $2,511.00 | $2,181.00 – $9,837.00 | 2 |
| Place cath xtrnl carotid CPT 36227 | $1,077.45 | $1,959.00 | $2,181.00 – $9,837.00 | 2 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,344.45 – $4,743.00 | 2 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Place endorectal app HCPCS C9725 | not published | not published | $903.30 – $9,837.00 | 3 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Place gastrostomy tube perc CPT 49440 | $1,039.50 | $1,890.00 | $1,863.90 – $4,743.00 | 3 |
| Placement bile duct support CPT 47801 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $672.65 | $1,223.00 | $1,604.25 – $4,217.00 | 3 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $179.85 | $327.00 | $2,181.00 – $9,837.00 | 2 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $672.65 | $1,223.00 | $687.83 – $4,217.00 | 3 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,757.15 | $5,013.00 | $2,030.46 – $8,701.00 | 3 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $691.35 | $1,257.00 | $2,181.00 – $9,837.00 | 2 |
| Placement of drain pancreas CPT 48001 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $5,625.40 | $10,228.00 | $11,213.25 – $25,004.00 | 3 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Place needles h&n for right CPT 41019 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Place needles pelvic for right CPT 55920 | not published | not published | $4,859.04 – $10,137.00 | 3 |
| Place non-slctv cath thoracic arta CPT 36221 | $1,141.80 | $2,076.00 | $3,066.96 – $10,137.00 | 3 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $35.39 | 4 |
| Place po breast cath for rad CPT 19296 | not published | not published | $7,939.08 – $17,116.00 | 3 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,344.45 – $4,743.00 | 3 |
| Place slctv cath carotd art uni CPT 36224 | $2,144.45 | $3,899.00 | $5,404.97 – $17,116.00 | 3 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,947.25 | $8,995.00 | $3,066.96 – $10,137.00 | 3 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $1,869.45 | $3,399.00 | $5,404.97 – $17,116.00 | 3 |
| Place slctv cath subclavian art CPT 36225 | $1,850.20 | $3,364.00 | $3,066.96 – $10,137.00 | 3 |
| Place slctv cath vertebral art uni CPT 36226 | $5,333.90 | $9,698.00 | $5,404.97 – $17,116.00 | 3 |
| Plasma volume multiple CPT 78111 | not published | not published | $235.24 – $1,257.53 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $256.16 – $1,257.53 | 2 |
| Plastic surgery neck CPT 15819 | not published | not published | $4,137.00 – $4,137.00 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $106.70 | $194.00 | $24.91 – $43.59 | 4 |
| Platelet automated CPT 85049 | $22.00 | $40.00 | $4.48 – $7.84 | 4 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $428.53 – $4,217.00 | 3 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $400.40 | $728.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $754.60 | $1,372.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $564.30 | $1,026.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $812.90 | $1,478.00 | not published | 0 |
| Platelet survival CPT 78191 | not published | not published | $374.32 – $388.31 | 2 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $509.88 | 4 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,557.50 | $4,650.00 | $3,477.76 – $10,137.00 | 3 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $5,340.50 | $9,710.00 | $2,181.00 – $2,181.00 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,809.30 | $6,926.00 | $3,423.93 – $10,137.00 | 3 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,925.25 | $8,955.00 | $3,423.93 – $10,137.00 | 3 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,428.35 | $2,597.00 | $687.83 – $3,420.00 | 2 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,242.45 | $2,259.00 | $2,181.00 – $2,181.00 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $451.55 | $821.00 | $2,181.00 – $9,837.00 | 2 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $366.85 | $667.00 | $2,181.00 – $9,837.00 | 2 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $156.75 | $285.00 | $2,181.00 – $9,837.00 | 2 |
| Plerixafor injection HCPCS J2562 | not published | not published | $24.98 – $68.01 | 6 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $299.20 | $544.00 | $362.46 – $362.46 | 1 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | $2,527.80 | $4,596.00 | $6,288.23 – $10,137.00 | 3 |
| Plmt biliary drainage cath CPT 47534 | $2,557.50 | $4,650.00 | $3,477.76 – $10,137.00 | 3 |
| Plmt nephroureteral catheter CPT 50433 | $3,359.40 | $6,108.00 | $3,423.93 – $8,701.00 | 3 |
| Plmt ureteral stent prq CPT 50694 | $4,133.25 | $7,515.00 | $3,423.93 – $10,137.00 | 3 |
| Pm device progr eval dual CPT 93280 | $248.05 | $451.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $261.80 | $476.00 | not published | 0 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $362.79 | 4 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $1,327.13 | 4 |
| Pmp22 gene full sequence CPT 81325 | $112.75 | $205.00 | $769.58 – $1,346.77 | 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.