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 |
|---|---|---|---|---|
| Sex transformation f to m CPT 55980 | not published | not published | $3,423.93 – $8,433.00 | 2 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,743.00 – $4,859.04 | 2 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $338.19 | 4 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $194.88 – $4,217.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $194.88 – $4,217.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $394.86 – $4,217.00 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $394.86 – $4,217.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $102.85 | $187.00 | $194.88 – $4,217.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $194.88 – $4,217.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $113.30 | $206.00 | $194.88 – $4,217.00 | 3 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $394.86 – $4,217.00 | 3 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $394.86 – $4,217.00 | 3 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $194.88 – $4,217.00 | 3 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $55.00 | $100.00 | $194.88 – $4,217.00 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $42.84 | 4 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Shortening of thigh bone CPT 27465 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $8,433.00 – $17,116.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,048.20 – $10,137.00 | 3 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,639.90 | $6,618.00 | $338.87 – $958.43 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | $3,223.00 | $5,860.00 | $761.45 – $788.49 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $2,343.00 | $4,260.00 | $231.76 – $443.07 | 2 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $7,048.20 – $8,701.00 | 3 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $7,048.20 – $8,701.00 | 3 |
| Shoulder X-ray CPT 73030 | $208.45 | $379.00 | $50.04 – $84.53 | 2 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $1,427.93 | $2,596.23 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $243.65 | $443.00 | $101.55 – $200.40 | 2 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $21.39 | 4 |
| Sialography s&i CPT 70390 | $366.30 | $666.00 | $198.49 – $231.76 | 2 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,220.41 – $4,743.00 | 3 |
| Sickling rbc CPT 85660 | $118.80 | $216.00 | $5.51 – $9.64 | 4 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $903.30 – $4,217.00 | 3 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $903.30 – $4,743.00 | 3 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $903.30 – $4,217.00 | 3 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $4,137.00 – $8,960.00 | 3 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,696.09 – $4,743.00 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $903.30 – $4,743.00 | 3 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $903.30 – $4,217.00 | 3 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $57.30 – $57.30 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,162.34 – $4,743.00 | 3 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $179.60 – $179.60 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,213.25 – $11,213.25 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $242.69 – $9,837.00 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $143.26 – $429.77 | 6 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $65.04 – $101.55 | 2 |
| Single transfer toe-hand CPT 26553 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,481.15 | $2,693.00 | $170.37 – $374.54 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $1,426.70 | $2,594.00 | $170.37 – $295.56 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $1,349.15 | $2,453.00 | $101.55 – $257.49 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | $2,986.50 | $5,430.00 | $232.77 – $3,066.96 | 2 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,932.43 – $155,229.06 | 6 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.14 – $3.43 | 6 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $91.03 – $320.25 | 6 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $27.15 – $27.15 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Skin Biopsy CPT 11102 | $279.40 | $508.00 | $394.86 – $4,217.00 | 3 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,004.13 – $8,701.00 | 3 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.72 – $28.09 | 2 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $3,304.19 – $3,304.19 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $305.92 | 4 |
| Sleep study attended CPT 95807 | not published | not published | $362.46 – $362.46 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $3,472.15 | $6,313.00 | $834.12 – $834.12 | 1 |
| Sleep study unattended CPT 95806 | $449.90 | $818.00 | $209.73 – $209.73 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Sling pelv split sam med HCPCS L0621 | $58.67 | $106.67 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,030.46 – $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.