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 |
|---|---|---|---|---|
| Reconstruct finger joint CPT 26545 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Reconstruct finger joint CPT 26548 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Reconstruct head of radius CPT 24365 | not published | not published | $12,470.63 – $16,164.00 | 3 |
| Reconstruct head of radius CPT 24366 | not published | not published | $12,470.63 – $25,004.00 | 3 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $14,758.00 – $17,116.00 | 3 |
| Reconstruction knee CPT 27427 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reconstruction knee CPT 27428 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Reconstruction knee CPT 27429 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,696.09 – $8,701.00 | 3 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $8,433.00 – $17,116.00 | 3 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reconstruction of jaw CPT 21245 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of jaw CPT 21246 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of jaw CPT 21248 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $13,352.00 – $26,356.16 | 3 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of midface CPT 21188 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of mouth CPT 40840 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Reconstruction of mouth CPT 40842 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Reconstruction of mouth CPT 40843 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Reconstruction of mouth CPT 40844 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of mouth CPT 40845 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of nail bed CPT 11762 | $2,784.65 | $5,063.00 | $2,004.13 – $4,743.00 | 3 |
| Reconstruction of nose CPT 30410 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of nose CPT 30420 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruction of throat CPT 42950 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Reconstruction of urethra CPT 53410 | not published | not published | $5,208.09 – $10,137.00 | 3 |
| Reconstruction of urethra CPT 53415 | not published | not published | $8,960.00 – $15,012.00 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $5,208.09 – $10,137.00 | 3 |
| Reconstruction of urethra CPT 54308 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Reconstruction of urethra CPT 54316 | not published | not published | $8,960.00 – $10,137.00 | 3 |
| Reconstruction of urethra CPT 54318 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Reconstruction of urethra CPT 54322 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,423.93 – $15,012.00 | 3 |
| Reconstruction of urethra CPT 54326 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $3,220.41 – $15,012.00 | 3 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $12,470.63 – $25,004.00 | 3 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $14,758.00 – $25,004.00 | 3 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $5,208.09 – $10,137.00 | 3 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $5,208.09 – $10,137.00 | 3 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $5,208.09 – $10,137.00 | 3 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Reconstruct windpipe CPT 31780 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Reconstruct windpipe CPT 31781 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Rectal sensation test CPT 91120 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $305.25 | $555.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $337.70 | $614.00 | $184.91 – $184.91 | 1 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $389.95 | $709.00 | $265.41 – $265.41 | 1 |
| Red cell mass multiple CPT 78121 | not published | not published | $246.64 – $527.40 | 2 |
| Red cell mass single CPT 78120 | not published | not published | $226.67 – $388.31 | 2 |
| Red cell sequestration CPT 78140 | not published | not published | $291.93 – $388.31 | 2 |
| Red cell survival study CPT 78130 | not published | not published | $354.34 – $388.31 | 2 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Reduce testis torsion CPT 54600 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Reduction of facial bones CPT 21209 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reduction of procidentia 45900 CPT 45900 | $1,013.65 | $1,843.00 | $903.30 – $4,217.00 | 3 |
| Reduction of skull defect CPT 62115 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Reduction of skull defect CPT 62117 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Re-explore parathyroids CPT 60502 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $298.15 – $2,181.00 | 2 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $206.61 – $206.61 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $4.41 – $13.23 | 6 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Reinforce clavicle CPT 23490 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reinforce eye wall CPT 67250 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $4,014.93 – $8,701.00 | 3 |
| Reinforce hip bones CPT 27187 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Reinforce thigh CPT 27495 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reinforce tibia CPT 27745 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Reinnervate larynx CPT 31590 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $4,743.00 – $25,004.00 | 3 |
| Reinsert ocular implant CPT 65155 | not published | not published | $3,818.69 – $10,137.00 | 3 |
| Release encircling material CPT 67115 | not published | not published | $4,014.93 – $8,960.00 | 3 |
| Release eye tissue CPT 67343 | not published | not published | $2,309.33 – $8,701.00 | 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.