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 |
|---|---|---|---|---|
| Bln press regulation 71-80cm HCPCS C1815 | $3,294.35 | $5,989.72 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $859.12 – $4,217.00 | 3 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $859.12 – $4,217.00 | 3 |
| Block paracervical nrv CPT 64435 | not published | not published | $685.65 – $4,217.00 | 3 |
| Block plantar digital nerve CPT 64455 | not published | not published | $298.15 – $4,217.00 | 3 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,039.50 | $1,890.00 | $2,181.00 – $9,837.00 | 2 |
| Block tap inj(s) w/wo img uni CPT 64486 | $520.30 | $946.00 | $2,181.00 – $9,837.00 | 2 |
| Blood Clotting (PT/INR) Test CPT 85610 | $26.95 | $49.00 | $4.29 – $7.51 | 4 |
| Blood Clotting (PTT) Test CPT 85730 | $36.30 | $66.00 | $6.01 – $10.52 | 4 |
| Blood Count (CBC) Test CPT 85025 | $52.25 | $95.00 | $7.77 – $13.60 | 4 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $50.05 | $91.00 | $6.47 – $11.32 | 4 |
| Blood count spun microhematocrit CPT 85013 | $15.40 | $28.00 | $7.00 – $12.25 | 4 |
| Blood Culture Test CPT 87040 | $64.35 | $117.00 | $10.32 – $18.06 | 4 |
| Blood draw capillary 36416 CPT 36416 | $21.45 | $39.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $267.30 | $486.00 | $78.77 – $137.85 | 4 |
| Blood gases ph venous CPT 82800 | $68.20 | $124.00 | $11.00 – $19.25 | 4 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $91.85 | $167.00 | $15.92 – $27.86 | 4 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $122.10 | $222.00 | $4.23 – $7.40 | 4 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $24.75 | $45.00 | $4.38 – $7.67 | 4 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $37.40 | $68.00 | $5.32 – $9.31 | 4 |
| Blood smear interpretation CPT 85060 | $47.30 | $86.00 | $27.56 – $27.56 | 1 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $33.55 | $61.00 | $3.80 – $6.65 | 4 |
| Blood typing abo CPT 86900 | $187.00 | $340.00 | $3.56 – $8.22 | 4 |
| Blood typing ag donor ea ag CPT 86902 | $188.65 | $343.00 | $7.56 – $17.46 | 4 |
| Blood typing patient serum CPT 86904 | not published | not published | $19.45 – $44.94 | 4 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $393.80 | $716.00 | $4.56 – $10.53 | 4 |
| Blood typing rh (d) CPT 86901 | $34.65 | $63.00 | $3.56 – $8.22 | 4 |
| Blood typing rh phenotype complete reference CPT 86906 | $48.40 | $88.00 | $9.22 – $21.31 | 4 |
| Blood volume CPT 78122 | not published | not published | $207.64 – $527.40 | 2 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $2,181.00 – $2,181.00 | 1 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $2,821.44 – $8,701.00 | 3 |
| Bone Density Scan (DEXA) CPT 77080 | $151.65 | $275.73 | $82.41 – $101.55 | 2 |
| Bone imaging multiple areas CPT 78305 | $635.80 | $1,156.00 | $388.31 – $525.06 | 2 |
| Bone/joint imaging ltd area CPT 78300 | $471.90 | $858.00 | $388.31 – $412.24 | 2 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $1,604.25 – $4,743.00 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,681.90 | $3,058.00 | $1,604.25 – $4,743.00 | 3 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,512.78 – $4,743.00 | 3 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $4,230.64 – $15,012.00 | 3 |
| Bone marrow imaging body CPT 78104 | not published | not published | $388.31 – $572.64 | 2 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $388.31 – $395.09 | 2 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $388.31 – $512.70 | 2 |
| Bone marrow interpretation CPT 85097 | $101.20 | $184.00 | $55.24 – $782.58 | 2 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $101.55 – $109.05 | 2 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $23.42 | 4 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $130.90 | $238.00 | $17.03 – $29.80 | 4 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $61.41 | 4 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.50 – $7.49 | 6 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $6.00 | 4 |
| Bowel imaging CPT 78290 | $540.65 | $983.00 | $388.31 – $826.34 | 2 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,821.44 – $8,433.00 | 3 |
| Brach/thor cath 1st CPT 36215 | $1,747.90 | $3,178.00 | $2,181.00 – $9,837.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | $1,945.35 | $3,537.00 | $2,181.00 – $9,837.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | $1,903.55 | $3,461.00 | $2,181.00 – $9,837.00 | 2 |
| Brach/thor cath addl CPT 36218 | $476.30 | $866.00 | $2,181.00 – $9,837.00 | 2 |
| Brachytx isodose complex CPT 77318 | not published | not published | $363.70 – $536.66 | 2 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $363.70 – $395.27 | 2 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $303.35 – $363.70 | 2 |
| Braf gene CPT 81210 | $116.60 | $212.00 | $175.40 – $306.95 | 4 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Brain flow imaging only CPT 78610 | not published | not published | $439.43 – $527.40 | 2 |
| Brain image < 4 views CPT 78600 | not published | not published | $388.31 – $447.99 | 2 |
| Brain image 4+ views CPT 78605 | not published | not published | $475.60 – $527.40 | 2 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $388.31 – $524.12 | 2 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $527.40 – $833.01 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $5,194.75 | $9,445.00 | $338.87 – $1,355.23 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,615.15 | $6,573.00 | $338.87 – $867.46 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,979.35 | $5,417.00 | $231.76 – $883.26 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $2,725.80 | $4,956.00 | $338.87 – $695.79 | 2 |
| Brain MRI (with contrast) CPT 70552 | $2,354.00 | $4,280.00 | $338.87 – $610.18 | 2 |
| Brain MRI (without contrast) CPT 70551 | $2,197.80 | $3,996.00 | $231.76 – $412.60 | 2 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $819.00 | 4 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,022.40 | 4 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $656.69 | 4 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $527.36 | 4 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $495.04 | 4 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $323.96 | 4 |
| Brca2 dna gene analy known fam var CPT 81217 | $917.40 | $1,668.00 | $375.25 – $656.69 | 4 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $495.04 | 4 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $770.00 | 4 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,446.20 | $8,084.00 | $1,824.88 – $3,193.54 | 4 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $7,939.08 – $17,116.00 | 3 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,306.80 | $2,376.00 | $1,604.25 – $4,743.00 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $399.30 | $726.00 | $687.83 – $4,217.00 | 3 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $13,385.89 – $17,116.00 | 3 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $13,352.00 – $15,012.00 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Breast reduction CPT 19318 | not published | not published | $6,449.81 – $15,012.00 | 3 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $209.73 – $2,181.00 | 2 |
| Breathing response hypoxia CPT 94450 | not published | not published | $124.98 – $124.98 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $362.46 – $362.46 | 1 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $165.22 | 4 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $19.36 | 4 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $248.93 – $677.70 | 6 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $489,399.16 – $1,332,389.21 | 6 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $379.91 – $4,217.00 | 3 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $3,621.46 – $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.