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 |
|---|---|---|---|---|
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $9,088.20 | $16,524.00 | $11,213.25 – $17,116.00 | 2 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $17,806.11 – $17,806.11 | 1 |
| Prq trlml c athrc st angiop1 CPT 92933 | $9,458.90 | $17,198.00 | $17,116.00 – $17,806.11 | 2 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,213.25 – $11,213.25 | 1 |
| Prq trluml c angiop 1art&/br CPT 92920 | $8,578.90 | $15,598.00 | $5,528.40 – $17,116.00 | 2 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $14,834.05 | $26,971.00 | $11,213.25 – $25,004.00 | 2 |
| Prq trluml revsc ch occ ant CPT 92943 | $9,088.20 | $16,524.00 | $11,213.25 – $17,116.00 | 2 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $433.92 – $4,217.00 | 3 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $199.10 | $362.00 | $129.23 – $4,217.00 | 3 |
| Pr removal intrauterine device CPT 58301 | $127.05 | $231.00 | $295.99 – $4,217.00 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $181.50 | $330.00 | $394.86 – $4,217.00 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $394.90 | $718.00 | $194.88 – $4,217.00 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $458.70 | $834.00 | $194.88 – $4,217.00 | 3 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $331.10 | $602.00 | $194.88 – $4,217.00 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $391.60 | $712.00 | $194.88 – $4,217.00 | 3 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $9,837.00 – $9,837.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $428.53 – $2,181.00 | 2 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,048.20 – $10,137.00 | 3 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,048.20 – $10,137.00 | 3 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $914.10 | $1,662.00 | $1,529.03 – $4,743.00 | 3 |
| PSA (Prostate) Test CPT 84153 | $101.75 | $185.00 | $18.39 – $32.18 | 4 |
| Psychoanalysis CPT 90845 | not published | not published | $172.41 – $172.41 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $98.68 – $98.68 | 1 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $74.80 | $136.00 | $172.41 – $172.41 | 1 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $99.55 | $181.00 | $172.41 – $172.41 | 1 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $149.60 | $272.00 | $172.41 – $172.41 | 1 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $209.73 – $209.73 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $433.92 – $433.92 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $129.23 – $129.23 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $148.50 | $270.00 | $14.21 – $14.21 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $148.50 | $270.00 | $18.39 – $18.39 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $141.35 | $257.00 | $13.84 – $13.84 | 1 |
| Pt application of modality traction mechanical CPT 97012 | $70.95 | $129.00 | $13.88 – $13.88 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $525.00 | 4 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,050.00 | 4 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $81.55 | 4 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Pt evaluation high complexity patient/family CPT 97163 | $283.25 | $515.00 | $95.70 – $95.70 | 1 |
| Pt evaluation low complexity patient/family CPT 97161 | $214.50 | $390.00 | $95.70 – $95.70 | 1 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $257.40 | $468.00 | $95.70 – $95.70 | 1 |
| Pt-focused hlth risk assmt CPT 96160 | $52.25 | $95.00 | not published | 0 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.96 – $23.96 | 1 |
| Pt re-evaluation patient/family CPT 97164 | $145.75 | $265.00 | $65.77 – $65.77 | 1 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $226.60 | $412.00 | $29.07 – $29.07 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $78.10 | $142.00 | $12.19 – $12.19 | 1 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $80.30 | $146.00 | $28.25 – $28.25 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $28.75 – $28.75 | 1 |
| Pt wheelchair management each 15 minutes CPT 97542 | $70.95 | $129.00 | $30.21 – $30.21 | 1 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $11,213.25 – $17,116.00 | 2 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $17,116.00 – $17,116.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $9,528.75 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Pulmonary vent imaging CPT 78579 | $1,013.65 | $1,843.00 | $388.31 – $445.54 | 2 |
| Pulse ox continuous overnight monitoring CPT 94762 | $368.50 | $670.00 | $124.98 – $124.98 | 1 |
| Pulse ox multiple CPT 94761 | $94.05 | $171.00 | not published | 0 |
| Pulse ox single CPT 94760 | $31.35 | $57.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $352.55 | $641.00 | $685.65 – $4,217.00 | 3 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $121.00 | $220.00 | $129.23 – $2,181.00 | 2 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $531.30 | $966.00 | $394.86 – $4,217.00 | 3 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $726.00 | $1,320.00 | $685.65 – $4,217.00 | 3 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $100.17 – $272.71 | 6 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $73.54 – $200.21 | 6 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | $1,442.10 | $2,622.00 | $685.65 – $4,217.00 | 3 |
| Pvb thoracic single inj site CPT 64461 | $1,442.10 | $2,622.00 | $685.65 – $4,217.00 | 3 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $12.57 – $37.71 | 6 |
| Pyruvate CPT 84210 | $7.70 | $14.00 | $14.48 – $25.34 | 4 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $16.52 | 4 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $129.23 – $129.23 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $527.40 – $732.50 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,139.05 | $2,071.00 | $388.31 – $459.79 | 2 |
| Quest t3 uptake CPT 84479 | $47.30 | $86.00 | $6.47 – $11.32 | 4 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $11.60 – $11.60 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $352.44 – $1,478.53 | 2 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $656.54 | 6 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $281.18 – $789.28 | 6 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $720.03 | 2 |
| Radial keratotomy CPT 65771 | not published | not published | $8,433.00 – $8,701.00 | 2 |
| Radiation handling CPT 77790 | not published | not published | $41.85 – $41.85 | 1 |
| Radiation physics consult CPT 77336 | $350.35 | $637.00 | $130.56 – $203.82 | 2 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $82.41 – $130.56 | 2 |
| Radiation therapy management CPT 77431 | not published | not published | $274.84 – $274.84 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $124.55 – $130.56 | 2 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $24.36 – $130.56 | 2 |
| Radiation treatment aid(s) CPT 77334 | $381.15 | $693.00 | $203.24 – $363.70 | 2 |
| Radiation treatment delivery CPT 77401 | not published | not published | $54.81 – $54.81 | 1 |
| Radiation treatment delivery CPT 77402 | not published | not published | $99.11 – $358.36 | 2 |
| Radiation treatment delivery CPT 77412 | $781.55 | $1,421.00 | $536.70 – $675.26 | 2 |
| Radiation tx management x5 CPT 77427 | not published | not published | $501.38 – $501.38 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $13,176.00 – $13,176.00 | 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.