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 |
|---|---|---|---|---|
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $8,960.00 – $10,137.00 | 3 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Rsv assay w/optic CPT 87807 | not published | not published | $13.10 – $22.93 | 4 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $947.43 – $947.43 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $129.32 – $129.32 | 1 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $24.86 – $24.86 | 1 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $24.52 – $24.52 | 1 |
| Rubella antibody igg CPT 86762 | $77.00 | $140.00 | $14.39 – $25.18 | 4 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $106.40 | 4 |
| Rubeola antibody igg CPT 86765 | $122.10 | $222.00 | $12.88 – $22.54 | 4 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $576.64 | 4 |
| Russell viper venom diluted CPT 85613 | $64.90 | $118.00 | $9.58 – $16.77 | 4 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,604.89 | 4 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $35.80 – $97.47 | 6 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.07 – $39.07 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $215.81 – $388.31 | 2 |
| Salivary gland imaging CPT 78230 | not published | not published | $388.31 – $416.03 | 2 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $286.22 – $388.31 | 2 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $23.08 | 4 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,144.33 – $8,701.00 | 3 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $129.32 – $129.32 | 1 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $3.51 – $3.51 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $59.88 – $163.02 | 6 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $90.00 | 4 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $484.61 | 6 |
| Sarscov coronavirus ag ia CPT 87426 | $124.85 | $227.00 | $35.33 – $61.83 | 4 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $36.83 – $123.01 | 4 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $5,896.86 – $10,137.00 | 3 |
| Sbrt management CPT 77435 | not published | not published | $1,697.70 – $1,697.70 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $98.68 – $98.68 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $444.40 | $808.00 | $231.76 – $231.76 | 1 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $245.85 | $447.00 | $101.55 – $101.55 | 1 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $297.00 | $540.00 | $231.76 – $231.76 | 1 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $101.55 – $101.55 | 1 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $878.90 | $1,598.00 | $101.55 – $101.55 | 1 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,189.10 | $2,162.00 | $101.55 – $101.55 | 1 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,191.20 | $3,984.00 | $231.76 – $231.76 | 1 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $739.75 | $1,345.00 | $101.55 – $101.55 | 1 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,825.45 | $3,319.00 | $101.55 – $101.55 | 1 |
| Scan proc cranial extra CPT 61782 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,321.00 | $4,220.00 | $1,604.25 – $4,217.00 | 3 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $1,064.25 | $1,935.00 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $31.83 | 4 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $25.57 – $25.57 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $55.90 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $76.95 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $46.36 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $47.34 | 4 |
| Screen cerv/vag thin layer HCPCS G0123 | $90.20 | $164.00 | $20.26 – $35.46 | 4 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $25.57 – $25.57 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $897.22 – $3,420.00 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $903.30 – $4,217.00 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $31.59 | 4 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $49.47 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $81.11 | 4 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $42.14 | 4 |
| Screening Mammogram CPT 77067 | $387.75 | $705.00 | $87.14 – $266.23 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $115.50 | $210.00 | $19.31 – $33.79 | 4 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $31.83 | 4 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $320.42 | $582.59 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $69.94 – $69.94 | 1 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,119.25 | $2,035.00 | $2,181.00 – $9,837.00 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $30.80 | $56.00 | $2.70 – $4.73 | 4 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $7,907.94 – $7,907.94 | 1 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $57.30 – $57.30 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $11.38 | 4 |
| Semen analysis presence/motility CPT 89321 | $9.90 | $18.00 | $12.05 – $21.09 | 4 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $15.07 | 4 |
| Sensorimotor examination CPT 92060 | not published | not published | $57.30 – $57.30 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $36.28 – $36.28 | 1 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,309.33 – $8,701.00 | 3 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $336.00 | 4 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $3.51 – $3.51 | 1 |
| Serpina1 gene CPT 81332 | $166.10 | $302.00 | $43.65 – $76.39 | 4 |
| Sertraline (zoloft) - sendout CPT 80332 | $179.85 | $327.00 | $27.15 – $27.15 | 1 |
| Set radiation therapy field CPT 77280 | $759.00 | $1,380.00 | $130.56 – $625.75 | 2 |
| Set radiation therapy field CPT 77285 | not published | not published | $363.70 – $993.09 | 2 |
| Set radiation therapy field CPT 77290 | $1,112.65 | $2,023.00 | $363.70 – $1,145.34 | 2 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $298.33 – $2,181.00 | 2 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.30 – $0.30 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.84 – $0.84 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,896.75 – $8,701.00 | 3 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $31.47 | 4 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $13.98 | 4 |
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.