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 |
|---|---|---|---|---|
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $81.55 | 4 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $356.13 | 4 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,183.88 | 4 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $579.25 | 4 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $609.32 – $4,217.00 | 3 |
| #pnh-flow cytometry interp CPT 88187 | $322.85 | $587.00 | $41.07 – $41.07 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $96.25 | $175.00 | $26.07 – $45.62 | 4 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $132.73 – $361.35 | 6 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $834.12 – $834.12 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $834.12 – $834.12 | 1 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,472.15 | $6,313.00 | $834.12 – $834.12 | 1 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $18.39 | 4 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $76,196.24 – $76,196.24 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $43.75 | 4 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $98.68 – $98.68 | 1 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $362.46 – $362.46 | 1 |
| Postpartum Care Only CPT 59430 | not published | not published | $9,837.00 – $9,837.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $39.60 | $72.00 | $4.73 – $8.28 | 4 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.13 – $0.62 | 6 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $10.20 | 4 |
| Potassium serum/plasma/whole blood CPT 84132 | $26.40 | $48.00 | $4.76 – $8.33 | 4 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $239.75 | 4 |
| Pq biliary strict dil s&i CPT 74363 | $1,234.75 | $2,245.00 | $218.03 – $218.03 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $537.90 | $978.00 | $188.98 – $188.98 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,450.40 | $11,728.00 | $7,048.20 – $17,116.00 | 3 |
| Pq thr inj ext pse CPT 36002 | $190.30 | $346.00 | $609.32 – $4,217.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $373.77 – $1,017.59 | 6 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $283.26 – $283.26 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,394.50 | $7,990.00 | $3,178.20 – $8,433.00 | 3 |
| Pr application of long arm splint CPT 29105 | $114.40 | $208.00 | $157.84 – $4,217.00 | 3 |
| Pr application splint static short arm CPT 29125 | $114.40 | $208.00 | $129.23 – $4,217.00 | 3 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $36.28 – $36.28 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | $279.40 | $508.00 | $394.86 – $4,217.00 | 3 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $10,137.00 – $14,758.00 | 3 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,422.85 | $2,587.00 | $4,743.00 – $4,743.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $277.20 | $504.00 | $194.88 – $2,181.00 | 2 |
| Prealbumin CPT 84134 | $81.40 | $148.00 | $14.59 – $25.53 | 4 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.48 – $1.45 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $3.84 | 6 |
| Pregabalin - sendout CPT 80366 | $140.25 | $255.00 | $27.15 – $27.15 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $26.34 | 4 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $603.35 | $1,097.00 | $101.55 – $245.12 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $595.10 | $1,082.00 | $101.55 – $195.64 | 2 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $9,837.00 – $9,837.00 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $9,837.00 – $9,837.00 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $209.73 – $209.73 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $362.46 – $362.46 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $362.46 – $362.46 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $523.87 – $4,217.00 | 3 |
| Prepare donor heart CPT 33944 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $50.62 – $50.62 | 1 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $4,217.00 – $4,217.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,217.00 – $6,893.34 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $834.12 – $834.12 | 1 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $394.86 – $4,217.00 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $717.88 – $4,743.00 | 3 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $291.50 | $530.00 | $124.98 – $124.98 | 1 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Pressure velocity wire add ves CPT 93572 | $897.60 | $1,632.00 | $2,181.00 – $2,181.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $119.35 | $217.00 | $39.57 – $165.49 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $119.35 | $217.00 | $39.57 – $57.30 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | $168.85 | $307.00 | $46.18 – $165.49 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $132.55 | $241.00 | $32.98 – $57.30 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | $73.70 | $134.00 | $26.40 – $165.49 | 2 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $169.95 | $309.00 | $172.41 – $172.41 | 1 |
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.