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 |
|---|---|---|---|---|
| Revision of penis CPT 54435 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Revision of radius CPT 25355 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Revision of scrotum CPT 55175 | not published | not published | $3,423.93 – $15,012.00 | 3 |
| Revision of scrotum CPT 55180 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,318.22 – $15,012.00 | 3 |
| Revision of testis CPT 54660 | not published | not published | $5,208.09 – $8,960.00 | 3 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Revision of toe CPT 28312 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Revision of upper arm CPT 24940 | not published | not published | $8,433.00 – $17,116.00 | 3 |
| Revision of ureter CPT 50700 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $3,423.93 – $10,137.00 | 3 |
| Revision of urethra CPT 53460 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Revision of urethra CPT 57220 | not published | not published | $4,859.04 – $15,012.00 | 3 |
| Revision of urinary tract CPT 51820 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Revision tips CPT 37183 | not published | not published | $5,528.40 – $25,004.00 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $12,470.63 – $16,164.00 | 3 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $120.88 – $552.40 | 2 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $120.88 – $2,804.55 | 5 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,395.88 – $8,433.00 | 2 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,395.88 – $10,137.00 | 3 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,395.88 – $10,137.00 | 3 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,395.88 – $10,137.00 | 3 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $14,758.00 – $25,004.00 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $14,758.00 – $25,004.00 | 3 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $13,352.00 – $29,973.09 | 2 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $14,758.00 – $17,031.17 | 2 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $10,823.26 – $25,004.00 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $5,476.90 | $9,958.00 | $9,837.00 – $17,116.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.42 – $28.36 | 6 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $52.25 | $95.00 | $6.14 – $10.75 | 4 |
| Rheumatoid factor quantitative CPT 86431 | $55.00 | $100.00 | $5.67 – $9.92 | 4 |
| Rh ig IV CPT 90386 | not published | not published | $1,804.28 – $1,804.28 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $80.00 – $164.06 | 2 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.88 – $14.65 | 6 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.62 – $70.85 | 6 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $32.51 – $88.51 | 6 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $77.16 – $231.47 | 6 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $355.36 – $355.36 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,148.99 – $15,012.00 | 3 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,148.99 – $15,012.00 | 3 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $7,448.76 – $7,448.76 | 1 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.14 – $0.43 | 5 |
| Right ventric recording CPT 93603 | not published | not published | $1,182.63 – $4,137.00 | 2 |
| Rilonacept injection HCPCS J2793 | not published | not published | $73.51 – $73.51 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $200.14 | $363.89 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.53 – $40.46 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.50 – $28.59 | 6 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $73.28 – $208.08 | 6 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.39 – $102.17 | 6 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $34.56 – $94.63 | 6 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $18.53 – $90.09 | 6 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $16.16 – $67.90 | 6 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,148.99 – $15,012.00 | 3 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,148.99 – $15,012.00 | 3 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $4,743.00 – $17,116.00 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $687.83 – $4,217.00 | 3 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,872.22 – $17,116.00 | 2 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,318.22 – $17,116.00 | 3 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | $3,592.05 | $6,531.00 | $3,629.83 – $10,137.00 | 3 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $22,564.30 | $41,026.00 | $13,352.00 – $51,258.00 | 3 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $23,558.70 | $42,834.00 | $13,352.00 – $51,258.00 | 3 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $18,979.40 | $34,508.00 | $13,352.00 – $51,258.00 | 3 |
| Rmvl icd pulse gen only CPT 33241 | $2,229.15 | $4,053.00 | $3,629.83 – $10,137.00 | 3 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $609.32 – $4,217.00 | 3 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $5,414.75 | $9,845.00 | $8,038.15 – $16,164.00 | 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.