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 |
|---|---|---|---|---|
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $127.60 | $232.00 | $129.32 – $129.32 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $106.70 | $194.00 | $1,604.25 – $4,743.00 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $309.10 | $562.00 | $1,604.25 – $4,743.00 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $573.65 | $1,043.00 | $394.86 – $4,217.00 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,744.95 – $10,137.00 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $194.15 | $353.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $257.40 | $468.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $190.85 | $347.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $248.05 | $451.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $251.90 | $458.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $1,060.40 | $1,928.00 | $2,181.00 – $2,181.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $2,589.95 | $4,709.00 | $13,352.00 – $17,806.11 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $732.05 | $1,331.00 | $2,181.00 – $9,837.00 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $98.68 – $98.68 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $513.15 | $933.00 | $394.86 – $4,217.00 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $262.35 | $477.00 | $194.88 – $4,217.00 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $233.20 | $424.00 | $295.99 – $4,217.00 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $322.85 | $587.00 | $394.86 – $4,217.00 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $214.50 | $390.00 | $129.32 – $129.32 | 1 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $157.30 | $286.00 | $129.32 – $129.32 | 1 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $733.15 | $1,333.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $308.31 – $4,217.00 | 3 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $237.94 – $774.11 | 6 |
| Procalcitonin CPT 84145 | $85.25 | $155.00 | $27.22 – $47.64 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $485.20 – $485.20 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $2.92 – $8.75 | 6 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $2.10 – $2.10 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $903.30 – $4,217.00 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,696.09 – $4,743.00 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $5,896.86 – $10,137.00 | 3 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $120.88 – $370.06 | 6 |
| Progesterone CPT 84144 | $132.55 | $241.00 | $20.86 – $36.51 | 4 |
| Prolactin CPT 84146 | $135.85 | $247.00 | $19.38 – $33.92 | 4 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $206.61 – $206.61 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.76 – $0.76 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.31 – $9.94 | 6 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $308.31 – $4,217.00 | 3 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $534.23 – $4,217.00 | 3 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $12,470.63 – $16,164.00 | 3 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.09 – $0.28 | 6 |
| _propoxygc/msur CPT 80367 | $267.30 | $486.00 | $27.15 – $27.15 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $27.51 – $27.51 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $623.15 | $1,133.00 | $201.90 – $348.17 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,423.93 – $8,433.00 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,423.93 – $15,012.00 | 3 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.40 – $4.19 | 6 |
| Protein analysis w/probe CPT 88372 | not published | not published | $31.21 – $72.11 | 4 |
| Protein c activity CPT 85303 | $132.55 | $241.00 | $13.84 – $24.22 | 4 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.02 – $40.89 | 6 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $101.20 | $184.00 | $10.74 – $18.80 | 4 |
| Protein s total CPT 85305 | $134.20 | $244.00 | $11.61 – $20.32 | 4 |
| Protein total 24 hour urine CPT 84156 | $38.50 | $70.00 | $3.67 – $6.42 | 4 |
| Protein total body fluid CPT 84157 | $35.20 | $64.00 | $4.00 – $7.00 | 4 |
| Protein total serum plasma whole blood CPT 84155 | $31.90 | $58.00 | $3.67 – $6.42 | 4 |
| Protein western blot tissue CPT 88371 | not published | not published | $26.46 – $61.13 | 4 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.01 – $9.75 | 2 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.94 – $6.90 | 4 |
| Proton treatment complex CPT 77525 | not published | not published | $1,213.91 – $3,113.67 | 2 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,213.91 – $2,814.30 | 2 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,213.91 – $2,422.67 | 2 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $536.70 – $2,416.11 | 2 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $17.05 | 4 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $129.32 – $129.32 | 1 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,477.76 – $10,137.00 | 3 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $84.15 | $153.00 | $98.68 – $98.68 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $13,352.00 – $25,004.00 | 3 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $13,352.00 – $25,004.00 | 3 |
| Prq card angio/athrect addl CPT 92925 | $11,147.95 | $20,269.00 | $25,004.00 – $25,004.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | $6,541.15 | $11,893.00 | $17,116.00 – $17,116.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $17,116.00 – $17,116.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $9,088.20 | $16,524.00 | $17,116.00 – $17,116.00 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $9,088.20 | $16,524.00 | $13,352.00 – $13,352.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $17,116.00 – $17,116.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | $6,334.90 | $11,518.00 | $17,116.00 – $17,116.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $9,088.20 | $16,524.00 | $11,213.25 – $17,116.00 | 2 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $17,116.00 – $17,116.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,048.20 – $14,758.00 | 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.