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 |
|---|---|---|---|---|
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Radiesse injection HCPCS Q2026 | not published | not published | $349.19 – $907.73 | 2 |
| Radiology port images(s) CPT 77417 | not published | not published | $28.16 – $28.16 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,344.45 – $4,055.16 | 2 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $181.55 – $536.12 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,032.35 | $1,877.00 | $527.40 – $780.66 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,332.10 | $2,422.00 | $527.40 – $1,431.74 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,257.53 – $1,683.71 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,508.65 | $2,743.00 | $527.40 – $798.73 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | $634.15 | $1,153.00 | $388.31 – $435.06 | 2 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $217.86 – $217.86 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $73.37 – $199.75 | 6 |
| Range of motion measurements CPT 95852 | not published | not published | $4.74 – $4.74 | 1 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $51.09 – $246.15 | 6 |
| Rapid desensitization CPT 95180 | not published | not published | $433.92 – $433.92 | 1 |
| Rapid Strep Test CPT 87880 | $74.25 | $135.00 | $16.53 – $28.93 | 4 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $370.46 – $1,008.58 | 6 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.32 – $599.82 | 6 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $1,313.04 – $1,313.04 | 1 |
| Rbc count only automated CPT 85041 | not published | not published | $3.02 – $5.29 | 4 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $428.53 – $4,217.00 | 3 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $15.05 | 4 |
| Rbc osmotic fragility CPT 85555 | $110.00 | $200.00 | $7.47 – $13.07 | 4 |
| Rbc serum pretx incubj drugs CPT 86975 | $198.55 | $361.00 | $35.69 – $433.92 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Realignment of knee CPT 27457 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Realignment of knee CPT 27455 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Realignment of tendons CPT 26437 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Realignment of thigh bone CPT 27454 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rechanneling of artery CPT 35361 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Recipient nephrectomy CPT 50340 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $98.14 – $98.14 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $8,433.00 – $26,356.16 | 3 |
| Reconstruct bronchus CPT 31775 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $13,352.00 – $25,004.00 | 3 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $12,470.63 – $16,164.00 | 3 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $12,470.63 – $16,164.00 | 3 |
| Reconstruct extra finger CPT 26587 | not published | not published | $3,178.20 – $8,433.00 | 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.